Individual
MARY ANN DALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
8419 S 73RD PLZ, SUITE 101, PAPILLION, NE 68046
(402) 991-9060
(402) 991-9052
Mailing address
8419 S 73RD PLZ, SUITE 101, PAPILLION, NE 68046
(402) 991-9060
(402) 991-9052
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
2398
NE
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
10/08/2019
Last updated
04/07/2021
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