Individual
DALE PALMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1601 W JEFFERSON ST, PHOENIX, AZ 85007-3002
(623) 853-0304
Mailing address
1601 W JEFFERSON ST, PHOENIX, AZ 85007-3002
(623) 853-0304
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
565
AZ
Other
Enumeration date
08/24/2009
Last updated
08/24/2009
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