Individual
DALE W BLOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
317 W. PONCA ST, LYNCH, NE 68746
(402) 569-2741
(402) 469-2780
Mailing address
PO BOX 345, 317 W. PONCA ST, LYNCH, NE 68746
(402) 569-2741
(402) 569-2780
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
15140
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
470715545
—
NE
Enumeration date
08/01/2006
Last updated
08/22/2023
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