| Doctor Name: | DALE PALMER |
| NPI Number: | 1174756266 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DO |
| License Number: | 565 |
| Business Practice Address: | 1601 W Jefferson St Phoenix, AZ - 850073002 |
| Business Phone Number: | 6238530304 |
| Business Fax Number: | |
| Mailing Address: | 1601 W Jefferson St, PHOENIX |
| State: | AZ |
| Postal Code: | 850073002 |
| Phone Number: | 6238530304 |
| Fax Number: | |
| NPI Enumeration Date: | 08/24/2009 |
| NPI Last Update Date: | 08/24/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 565 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |