Organization
DALE MEDICAL SPECIALTY CLINIC
Active
Parent organization
DALE MEDICAL CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
DALE MEDICAL CENTER
Authorized official
MR. BRAD HULL CFO (CHIEF FINANCIAL OFFICER)
(334) 774-2601
Entity
Organization
Contact information
Practice address
218 HOSPITAL AVE, SUITE A1, OZARK, AL 36360-2064
(334) 443-0190
(334) 774-5867
Mailing address
PO BOX 863, OZARK, AL 36361-0863
(334) 443-0190
(334) 774-5867
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
25178
AL
Other
Enumeration date
12/17/2012
Last updated
12/17/2012
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