Individual
DR. DALE EVERETT SLAGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7700 E PARHAM RD, RICHMOND, VA 23294-4301
(804) 747-5770
(804) 747-5746
Mailing address
PO BOX 247, MIDLOTHIAN, VA 23113
(804) 747-5770
(804) 747-5746
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0101026588
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
172002
ANTHEM BS
VA
05
—
6034632
—
VA
01
—
930088825
RR MEDICARE
—
Enumeration date
08/01/2006
Last updated
09/18/2012
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