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AMELIA B DALE PA-C

Individual Provider (NPI-1) Active

Physician Assistant, Medical

Provider Information

NPI Number
1063896934
Provider Type
Individual Provider (NPI-1)
Credentials
PA-C
Status
Active

Contact & Location

Address
2600 FERRY ST, LAFAYETTE, IN, 479043055
Phone
(765) 448-8000

Specialties & Taxonomies

Physician Assistant License: IN #10001854A
Physician Assistant, Medical Primary License: IN #10001854A

All Addresses

LOCATION

2600 FERRY ST

LAFAYETTE, IN, 479043055

(765) 448-8000

MAILING

1200 W WHITE RIVER BLVD RCS PROVIDER ENROLLMENT

MUNCIE, IN, 473034988

(765) 254-4009