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Individual
DALE ESSMYER
Active
Individual
DALE ESSMYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R8F81
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
242288934
—
MO
01
—
24451
BC/BS
MO
01
—
28727
BC/BS OF ILLINOIS
IL
01
—
28727
ALLIANCE
MO
05
—
501720809
—
MO
05
—
591720800
—
MO
Enumeration date
10/23/2006
Last updated
05/09/2008
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