Individual
LEONARD E. DALE II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
32-36 CENTRAL AVE, WELLSBORO, PA 16901-1840
(570) 723-0163
(570) 723-0188
Mailing address
PO BOX 21, WELLSBORO, PA 16901-0021
(570) 723-0163
(570) 723-0188
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD013080E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0009512600001
—
PA
Enumeration date
06/24/2005
Last updated
11/10/2009
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