Individual
DALE METON GADDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 HOSPITAL LN, SUITE 220, DANVILLE, IN 46122-1989
(317) 745-3758
(317) 745-3749
Mailing address
100 HOSPITAL LN, SUITE 220, DANVILLE, IN 46122-1989
(317) 745-3758
(317) 745-3749
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
01031919A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000092882
BLUESHIELD
IN
05
—
100133670
—
IN
01
—
2016490
CIGNA
IN
01
—
4073181
AETNA
IN
Enumeration date
12/16/2005
Last updated
02/09/2010
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