NPI 1063173250
Matthew Dalton, QBHP
Practice location
- Address
- 2126 N 1st St STE F, Jacksonville, AR 72076-2868
- Phone
- (501) 982-5000
- Mailing address
- 1815 Pleasant Grove Rd, Jonesboro, AR 72405-7870
Registered specialties
Case Manager/Care Coordinator
Primary
Registry record
- NPI
- 1063173250
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 10 Jan 2022
- Record last updated
- 10 Jan 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.