Individual
DR. DALE MARCUS SELBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2200 BERGQUIST DR, SUITE 1, WILFORD HALL MEDICAL CENTER, DEPT OF PATHOLOGY, LACKLAND A F B, TX 78236-9907
(210) 292-5455
Mailing address
8202 CREEKRUN PATH, SAN ANTONIO, TX 78249-3820
(210) 681-1247
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
4301079315
MI
Other
Enumeration date
01/22/2006
Last updated
08/06/2007
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