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Dale W Blaise, MD
Family Medicine Physician in Murphysboro, Illinois
NPI 1770557472

Dale W Blaise is a Family Medicine Physician based in Carbondale, IL. Dale W Blaise practices in Murphysboro, IL and has the professional credentials of MD. The NPI Number for Dale W Blaise is 1770557472 and holds a License No. 036065426 (Illinois).

The current practice location address for Dale W Blaise is 19 E Shawnee Dr Ste 2, Murphysboro, IL and can be reached out via phone at 618-684-2172 and via fax at 618-687-4480.

Location: 19 E Shawnee Dr Ste 2, Murphysboro, IL, 62902-3988
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1770557472
Provider Name
Dale W Blaise
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
19 E Shawnee Dr Ste 2, Murphysboro, IL, 62902-3988
Phone Number
618-684-2172
Fax Number
618-687-4480
Provider Enumeration Date
02/17/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
036065426 05 IL
7210895 01 IL AETNA
3932056 01 IL BCBS
8630880 01 IL MULTI PLAN
institution
Provider Business Practice Location Address Details
Address
19 E Shawnee Dr Ste 2
City
Murphysboro
State
Illinois
Zip
62966-7072
Phone Number
618-684-2172
Fax Number
618-687-4480
person
Provider Business Mailing Address Details
Address
19 E Shawnee Dr Ste 2
City
Murphysboro
State
Illinois
Zip
62966-7072
Phone Number
618-684-2172
Fax Number
618-687-4480
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
036065426 (Illinois)
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.
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