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Individual

DALE STEVEN DISALVO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3435 MARTIN WAY E STE G, OLYMPIA, WA 98506-5071
(360) 438-6400
Mailing address
3435 MARTIN WAY E STE G, OLYMPIA, WA 98506-5071
(360) 438-6400

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
036.150840
IL
207L00000X
Anesthesiology Physician
204041
OR
207L00000X
Anesthesiology Physician
290717
NY
207L00000X
Anesthesiology Physician
Primary
61149344
WA

Other

Enumeration date
04/19/2016
Last updated
07/06/2021
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