Individual
MR. DALE E SCANLAN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1911 THOMSON DR, LYNCHBURG, VA 24501-1008
(434) 200-3901
(434) 200-1664
Mailing address
1911 THOMSON DR, LYNCHBURG, VA 24501-1008
(434) 200-3901
(434) 200-1664
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110004982
VA
Other
Enumeration date
07/04/2015
Last updated
07/04/2015
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