Individual
DR. DALE W ASBURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1500 DODSON AVE, SUITE 175, FORT SMITH, AR 72901-5182
(479) 709-7260
(479) 709-7261
Mailing address
1500 DODSON AVE, SUITE 175, FORT SMITH, AR 72901-5182
(479) 709-7260
(479) 709-7261
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
C-6210
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080079356
RR MEDICARE
AR
05
—
100082310A
—
OK
05
—
113617001
—
AR
Enumeration date
06/12/2006
Last updated
02/09/2017
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