Organization Name: | DALE MEDICAL CENTER |
NPI Number: | 1033449467 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BRAD HULL (CFO) |
Mailing Address: | 2126 W Roy Parker Rd Ste 204 Ozark |
State: | AL US |
Postal Code: | 363608566 |
Phone Number: | 3344451025 |
Fax Number: | 3344451026 |
NPI Enumeration Date: | 01/07/2010 |
NPI Last Update Date: | 06/15/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207VG0400X |
License Number: | 23709 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | Gynecology |
Taxonomy Definition: |