Active NPIIndividual provider

Miles M Dale, MD

Surgery in Puyallup, Washington

NPI Number1558899005
Practice location
1519 3RD St SE Ste 230, Puyallup, WA 98372-3742
Fax
253-841-7645
Last updated
April 8, 2024

Miles Mcbride Dale is a Surgery based in Puyallup, WA. Miles Mcbride Dale practices in Puyallup, WA and has the professional credentials of MD. The NPI Number for Miles Mcbride Dale is 1558899005 and holds a License No. MD61453759 (WA). The current practice location address for Miles Mcbride Dale is 1519 3RD St SE Ste 230, Puyallup, WA 98372-3742 and can be reached out via phone at 253-841-9640 and via fax at 253-841-7645.

Provider Profile Details

NPI Number
1558899005
Provider Name
Miles Mcbride Dale
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1519 3RD St SE Ste 230, Puyallup, WA 98372-3742
Phone Number
253-841-9640
Fax Number
253-841-7645
Primary Taxonomy
Surgery · 208600000X
Sole Proprietor
No
Provider Enumeration Date
May 30, 2017
Last Update Date
April 8, 2024
Certification Date
April 8, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
1519 3RD St SE Ste 230
Puyallup, WA 98372-3742
Zip
98372-3742
Phone Number
253-841-9640
Fax Number
253-841-7645
Puyallup, WA 98372Get directions →

Provider Business Mailing Address Details

Address
Po Box 5299
Ms: 820-5-PCO
Tacoma, WA 98415-0299
City
Tacoma
State
WA
Zip
98415-0299

License Information

License Number
MD61453759
License State
WA
Taxonomy
Surgery · 208600000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Miles M Dale, MD?

The NPI number of Miles M Dale, MD is 1558899005. It was assigned on May 30, 2017 and is currently active in the NPPES registry.

What is the specialty of Miles M Dale, MD?

Miles M Dale, MD is registered under the primary taxonomy Surgery (code 208600000X), licensed in WA under license number MD61453759.

Where does Miles M Dale, MD practice?

The practice location is 1519 3RD St SE Ste 230, Puyallup, WA 98372-3742. The office can be reached at 253-841-9640 (phone) or 253-841-7645 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1558899005 directly on the NPPES registry website.

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