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David W Dale, DO
Clinic/Center in Houston, Missouri
NPI 1568463925

David W Dale is a Clinic/Center based in Cape Girardeau, MO. David W Dale practices in Houston, MO and has the professional credentials of DO. The NPI Number for David W Dale is 1568463925 and holds a License No. R3C32 (Missouri).

The current practice location address for David W Dale is 1340 S Sam Houston Blvd, Houston, MO and can be reached out via phone at 417-967-3755 and via fax at 417-967-2630.

Location: 1340 S Sam Houston Blvd, Houston, MO, 63702-0817
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1568463925
Provider Name
David W Dale
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
1340 S Sam Houston Blvd, Houston, MO, 63702-0817
Phone Number
417-967-3755
Fax Number
417-967-2630
Provider Enumeration Date
08/09/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
242088722 05 MO
207623109 05 MO
598235703 05 MO
001013745 01 MO MEDICARE PART B
503362600 05 MO
593362601 05 MO
institution
Provider Business Practice Location Address Details
Address
1340 S Sam Houston Blvd
City
Houston
State
Missouri
Zip
65483-2045
Phone Number
417-967-3755
Fax Number
417-967-2630
person
Provider Business Mailing Address Details
Address
1340 S Sam Houston Blvd
City
Houston
State
Missouri
Zip
65483-2045
Phone Number
417-967-3755
Fax Number
417-967-2630
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
()
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
()
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rural Health
Taxonomy
261QR1300X
License No.
R3C32 (Missouri)
Definition
Definition to come...
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