Individual
DR. ROBERT ANDREW DALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
600 DAVISSON RUN RD, SUITE 200, CLARKSBURG, WV 26301-9307
(304) 623-6728
(304) 623-2638
Mailing address
600 DAVISSON RUN RD, SUITE 200, CLARKSBURG, WV 26301-9307
(304) 623-6728
(304) 623-2638
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
10395
WV
213E00000X
Podiatrist
N006127
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10395
WV STATE PODIATRY LICENSE
WV
01
—
311573127
GROUP TAX ID #
WV
05
—
3810008964
—
WV
01
—
N006127
NEW YORK PODIATRY LICENSE
NY
01
—
P00400794
UMWA (FUNDS)
WV
01
—
WV10395
HEALTH PLAN
WV
Enumeration date
09/30/2006
Last updated
04/22/2008
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