Individual
STEPHEN J. DALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M
Contact information
Practice address
325 N STATE OF FRANKLIN RD, 3RD FLOOR, JOHNSON CITY, TN 37604-6062
(423) 439-7201
(423) 439-7219
Mailing address
P.O. BOX 699, MOUNTAIN HOME, TN 37684-0699
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
0183
TN
Other
Enumeration date
12/19/2005
Last updated
07/08/2007
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