Organization
DALE MEDICAL CENTER
Active
Other names
andrew a duerr
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VERNON JOHNSON (CEO)
(334) 774-2601
Entity
Organization
Contact information
Practice address
2126 W ROY PARKER RD, SUITE 207, OZARK, AL 36360-8566
(334) 445-6329
(334) 445-6001
Mailing address
PO BOX 460, OZARK, AL 36361-0460
(334) 445-6329
(334) 445-6001
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
25234
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
529924880
—
AL
Enumeration date
06/30/2008
Last updated
06/30/2008
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