Individual
DALE ROBERT WALASZEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
245 N BINKLEY ST, SOLDOTNA, AK 99669-7500
(907) 714-4521
Mailing address
250 HOSPITAL PL, SOLDOTNA, AK 99669-6999
(907) 714-4502
(907) 714-4696
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA2005-0017
NM
363A00000X
Physician Assistant
Primary
PADA1183
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1615861
—
AK
Enumeration date
08/30/2006
Last updated
06/04/2021
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