According to our database, the NPI number for Dale W Blaise MD is 1770557472 and activated since 18 years ago. Dale W Blaise MD is an individual provider who specializes in Family Medicine, and the primary practice location is 19 E Shawnee Drive, Murphysboro, IL 62966. You can also contact Dale W Blaise MD via telephone number is (618) 684-2172. Provider NPI information was last updated on 10/20/2020.

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Overview of Dale W Blaise MD

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 02/17/2006
  • Last updated: 10/20/2020

Primary Scrop of Practice

  • Taxonomy Code: 207Q00000X
  • Specialty: Family Medicine
  • License Number: 036065426
  • License State: IL

Provider Mailing Address

  • Address: Po Box 3988
    Carbondale, IL 62902
  • Phone: 618-457-5200
  • Fax:

Provider Practice Location

  • Address: 19 E Shawnee Drive
    Murphysboro, IL 62966
  • Phone: 618-684-2172
  • Fax: 618-687-4480

Scope of Practice

  • Taxonomy Code: 207Q00000X
  • Specialty: Family Medicine
  • License Number: 036065426
  • License State: IL
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 036065426
  • Identifier Type: Medicare Oscar/Certification
  • Identifier State: IL
  • Issuer:

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Dale W Blaise MD?
  • A: The npi number for Dale W Blaise MD is 1770557472.
  • Q: What are Dale W Blaise MD's specialties?
  • A: Dale W Blaise MD's specialties are Family Medicine and different specialities.
  • Q: What is the medical license for Dale W Blaise MD?
  • A: The medical license number for Dale W Blaise MD is 036065426 and issued in IL in USA.
  • Q: Where is Dale W Blaise MD practice location?
  • A: Dale W Blaise MD is practicing at 19 E Shawnee Drive, Murphysboro, IL 62966.
  • Q: How to contact Dale W Blaise MD?
  • A: You can contact Dale W Blaise MD via 618-684-2172.