| Doctor Name: | MR. DALE HARRELL |
| NPI Number: | 1033103858 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | ARNP |
| License Number: | 3253869 |
| Business Practice Address: | 307 Boatner Rd Eglin Afb, FL - 325421391 |
| Business Phone Number: | 8508839060 |
| Business Fax Number: | |
| Mailing Address: | 307 Boatner Rd Ste 114, EGLIN AFB |
| State: | FL |
| Postal Code: | 325421302 |
| Phone Number: | 8508839060 |
| Fax Number: | |
| NPI Enumeration Date: | 09/08/2005 |
| NPI Last Update Date: | 12/10/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 3253869 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |