Individual
DALE T. RALSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
1510 CHESTER PIKE, SUITE 130, EDDYSTONE, PA 19022-1375
(610) 521-6063
(610) 521-0163
Mailing address
PO BOX 199, RIDLEY PARK, PA 19078-0199
(610) 521-6063
(610) 521-0163
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
MA000158L
PA
363AM0700X
Medical Physician Assistant
Primary
OA000732
PA
Other
Enumeration date
07/07/2008
Last updated
03/08/2017
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