Organization
DR. JOSEPH P. DALE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH P. DALE OD (OPTOMETRIST)
(812) 735-4834
Entity
Organization
Contact information
Practice address
610 W 11TH ST, BICKNELL, IN 47512-9627
(812) 735-4834
Mailing address
610 W 11TH ST, BICKNELL, IN 47512-9627
(812) 735-4834
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18002783
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200070850
—
IN
Enumeration date
03/01/2017
Last updated
03/01/2017
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