Individual
MR. DALE D PEARCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN, FNP-C
Contact information
Practice address
1535 W MCCORD ST, CENTRALIA, IL 62801-5805
(618) 533-1811
Mailing address
415 E 200 AVE, PATOKA, IL 62875-0045
(618) 322-8391
(618) 532-8171
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209020476
IL
Other
Enumeration date
06/29/2020
Last updated
01/09/2026
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