Individual
DALE L ALTHAUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
111 DUFF AVENUE, AMES, IA 50010
(515) 239-2011
Mailing address
PO BOX 27015, OMAHA, NE 68127-0015
(402) 397-5462
(402) 397-9895
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
D045598
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0053314
—
IA
05
—
0268557
—
IA
Enumeration date
04/14/2006
Last updated
07/19/2010
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