Individual
PETER ALLEN DALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0420007795
VT
207RI0200X
Infectious Disease Physician
042.0007795
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0009289
—
VT
Enumeration date
09/22/2005
Last updated
12/04/2014
Update your record
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