Organization
DALE MEDICAL CENTER
Active
Parent organization
DALE MEDICAL CENTER
Other names
AZALEA WOMENS CLINIC
Organization subpart
Yes
Provider details
NPI number
Legal business name
DALE MEDICAL CENTER
Authorized official
MR. BRAD HULL (CFO)
(334) 774-2601
Entity
Organization
Contact information
Practice address
2126 W ROY PARKER RD, STE 204, OZARK, AL 36360-8566
(334) 445-1025
(334) 445-1026
Mailing address
PO BOX 863, OZARK, AL 36361-0863
(334) 445-1025
(334) 445-1026
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
23709
AL
Other
Enumeration date
01/07/2010
Last updated
06/15/2010
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