Individual
KYLE LAIRD DALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3205 S RUSSELL ST, MISSOULA, MT 59801-8536
(406) 721-4906
Mailing address
3205 S RUSSELL ST, MISSOULA, MT 59801-8536
(406) 721-4906
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
12028
MT
Other
Enumeration date
11/20/2007
Last updated
06/03/2010
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