Individual
DR. WILLIAM DALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
1500 DUARTE RD, DUARTE, CA 91010-3012
(626) 256-4673
Mailing address
PO BOX 512185, LOS ANGELES, CA 90051
(626) 775-3514
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
C150617
CA
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
036-109771
IL
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
C150617
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036-109771
STATE LICENCE NUMBER
IL
Enumeration date
08/10/2006
Last updated
03/07/2023
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