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Individual

GARY ERNEST DALE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
106 1ST AVE SW, CHOTEAU, MT 59422-9376
(406) 540-3188
Mailing address
106 1ST AVE SW, P.O. BOX 483, CHOTEAU, MT 59422-9376
(406) 540-3188

Taxonomy

Speciality
Code
Description
License number
State
207ZF0201X
Forensic Pathology Physician
Primary
6580
MT

Other

Enumeration date
12/29/2016
Last updated
12/29/2016
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