Individual
DR. ROBERT A DALE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1105 EARL FRYE BOULEVARD, GILMORE MEMORIAL HOSPITAL, AMORY, MS 38821
(662) 256-6090
Mailing address
110 RAVENWOOD CV, TUPELO, MS 38804-7091
(662) 840-4648
(662) 844-0315
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
06999
MS
Other
Enumeration date
08/19/2006
Last updated
07/08/2007
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