Individual
MILES MCBRIDE DALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1519 3RD ST SE STE 230, PUYALLUP, WA 98372-3742
(253) 841-9640
(253) 841-7645
Mailing address
PO BOX 5299, MS: 820-5-PCO, TACOMA, WA 98415-0299
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD61453759
WA
Other
Enumeration date
05/30/2017
Last updated
04/08/2024
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