Individual
DALE J ROBERTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
640 S STATE ST, BAY ANESTHESIA ASSOCIATES, DOVER, DE 19901-3530
(302) 674-4700
Mailing address
PO BOX 10925, BAY ANESTHESIA ASSOCIATES, WILMINGTON, DE 19850-0925
(302) 674-4700
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
L60A00462
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
L1-0015899
PROFESSIONAL LICENSE-RN
DE
01
—
L6-0A00462
PROFESSIONAL LICENSE-CRNA
DE
Enumeration date
02/24/2006
Last updated
07/01/2011
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