Individual
JOSH ALAN DALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RD, LD
Contact information
Practice address
3117 OLIVE ST, SAINT LOUIS, MO 63103-1212
(314) 652-3663
Mailing address
8 WESTGLEN CT, SAINT PETERS, MO 63376-4704
(636) 373-2196
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
164004815
IL
133V00000X
Registered Dietitian
Primary
2006038467
MO
Other
Enumeration date
08/31/2011
Last updated
07/13/2012
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