Individual
DALE ALAN CRUISE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3622 EL DORADO LOOP S, SALEM, OR 97302-9737
(503) 363-3317
Mailing address
3622 EL DORADO LOOP S, SALEM, OR 97302-9737
(503) 363-3317
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
MD07666
OR
207VX0000X
Obstetrics Physician
Primary
7666
OR
Other
Enumeration date
01/07/2010
Last updated
01/07/2010
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