Individual
ROBERT E DALE III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1335 BELMONT AVE, YOUNGSTOWN, OH 44504-1135
(234) 233-2849
(330) 747-2211
Mailing address
100 DEBARTOLO PL STE 200, YOUNGSTOWN, OH 44512-6095
(330) 729-8146
(330) 965-5229
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.003949RX
OH
363A00000X
Physician Assistant
MA055732
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0109347
—
OH
Enumeration date
10/02/2012
Last updated
02/21/2025
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