Doctor Name: | DR. DALE NEWTON ALTER |
NPI Number: | 1780691121 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 20858 |
Business Practice Address: | 240 2nd Ave Sw Albany, OR - 973212233 |
Business Phone Number: | 5033301573 |
Business Fax Number: | |
Mailing Address: | 240 2nd Ave Sw, ALBANY |
State: | OR |
Postal Code: | 973212233 |
Phone Number: | 5033301573 |
Fax Number: | |
NPI Enumeration Date: | 08/01/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 20858 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |