DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. SCOTT RYAN DALTON, D.O.

Active Sole Proprietor

Dermatopathology · LACKLAND AFB, TX

Registration Details

NPI Number
1497725576
Provider Type
Individual
Gender
Male
NPI Issued
Jan 23, 2006 (20.243201031735 yrs)
Last Updated
Sep 17, 2019
Licenses
M9238 (TX)
M9238 (TX)
Sole Proprietor
Yes

Practice Information

Address
2200 BERGQUIST DR
SUITE 1
LACKLAND AFB, TX, 78236
Browse TX providers · Browse ZIP 78236
Phone
4152644136
Primary Specialty
Dermatopathology
207ND0900X
Additional Specialty
Dermatopathology
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.