| NPI Details | |
|---|---|
| NPI | 1629308994 |
| Gender | Male |
| Enumeration Date | 01/07/2010 |
| Last Updated | 01/07/2010 |
| Entity Type | Individual |
| Active | Over 8 years ago |
| Practice Location | |
|---|---|
| 3622 EL DORADO LOOP S SALEM OR, 97302-9737, US |
|
| Phone | (503) 363-3317 |
| Fax | |
| Business Location | |
|---|---|
| 3622 EL DORADO LOOP S SALEM OR, 97302-9737, US |
|
| Phone | (503) 363-3317 |
| Fax | |
| Toxanomy | |
|---|---|
| Taxonomy Code | 207V00000X |
| License State | Oregon |
| License Number | MD07666 |
| Remove 1629308994 NPI Number | |
According to our database, Dale Alan Cruise M.D. NPI is 1629308994, taxonomy code is 207V00000X and license number is MD07666, license state is located at Oregon. Dale Alan Cruise M.D. physically located at 3622 El Dorado Loop S, Salem OR, 97302-9737. NPI Number Dale Alan Cruise M.D. has the Individual type.
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1629308994 NPI number is provided on an as is basis without warranty of any kind. 1629308994 is maintained by the National Plan & Provider Enumeration System. The contents of Dale Alan Cruise M.D. are for informational purposes only.
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