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Individual

STEVEN P DALE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
5 MOBILE INFIRMARY CIR, MOBILE, AL 36607-3513
(251) 432-4497
(251) 432-0577
Mailing address
PO BOX 934369, ATLANTA, GA 31193-0001
(800) 897-6169
(800) 897-6170

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
AA-806
AL
367H00000X
Anesthesiologist Assistant
Primary
AA806
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000058745
AL
Enumeration date
09/19/2005
Last updated
10/28/2014
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