Doctor Name: | DALE E ALSAGER |
NPI Number: | 1992832406 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.O., PH.D. |
License Number: | OP00001485 |
Business Practice Address: | 22520 Se 218th St Maple Valley, WA - 980388001 |
Business Phone Number: | 4254324554 |
Business Fax Number: | 4254324334 |
Mailing Address: | Po Box 11009, OLYMPIA |
State: | WA |
Postal Code: | 985081009 |
Phone Number: | 3603522037 |
Fax Number: | 3603520637 |
NPI Enumeration Date: | 02/28/2007 |
NPI Last Update Date: | 12/18/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 204D00000X |
License Number: | OP00001485 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Neuromusculoskeletal Medicine & OMM |
Taxonomy Specialization: | |
Taxonomy Definition: |