Individual
DALE J BLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4859 NIXON PARK DR, SUITE A, MASON, OH 45040-8106
(513) 492-5940
(513) 492-5941
Mailing address
4859 NIXON PARK DR, SUITE A, MASON, OH 45040-8106
(513) 492-5940
(513) 492-5941
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35.058139
OH
207Q00000X
Family Medicine Physician
ME81500
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000235000
—
FL
05
—
0059525
—
OH
Enumeration date
11/16/2005
Last updated
11/15/2013
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