Individual
BENJAMIN DALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
48 MEDICAL PARK DR E STE 354, BIRMINGHAM, AL 35235-3469
(866) 546-2124
(866) 546-2124
Mailing address
48 MEDICAL PARK DR E STE 354, BIRMINGHAM, AL 35235-3469
(866) 546-2124
(866) 546-2124
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA70
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000042307
—
AL
Enumeration date
07/03/2006
Last updated
07/10/2015
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