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Individual

MR. DALE WELSH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
1717 WEST COWLES STREET, FAIRBANKS, AK 99701-5903
(907) 451-6682
Mailing address
PO BOX 71766, FAIRBANKS, AK 99707-1766
(206) 696-2580
(719) 526-8883

Taxonomy

Speciality
Code
Description
License number
State
2084P0301X
Brain Injury Medicine (Psychiatry & Neurology) Physician
Primary
7148
AZ
363A00000X
Physician Assistant
AK

Other

Enumeration date
08/22/2011
Last updated
11/06/2023
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