Individual
DR. JOHN GREGORY DALLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
20A8441
CA
2085R0202X
Diagnostic Radiology Physician
54676
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00AX84410
—
CA
01
—
020A84410
BLUE SHIELD
CA
01
—
P00126987
RAILROAD
CA
Enumeration date
07/21/2005
Last updated
05/22/2024
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