David W Dale, DO in Houston, MO - Clinic/Center

David W Dale, DO is a Clinic/center - Rural Health physician based in Houston, Missouri. David W Dale is licensed to practice in * (Not Available) (license number ) and his current practice location is 1340 S Sam Houston Blvd, Houston, Missouri. He can be reached at his office (for appointments etc.) via phone at (417) 967-3755.

NPI number for David W Dale is 1568463925 and his current mailing address is Po Box 817, Cape Girardeau, Missouri. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1568463925.

Contact Information

	David W Dale, DO
	1340 S Sam Houston Blvd, Houston, MO 65483-2045
	(417) 967-3755
	(417) 967-2630

Physician's Profile

Full Name	David W Dale
Gender	Male
Speciality	Clinic/center - Rural Health
Location	1340 S Sam Houston Blvd, Houston, Missouri
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1568463925
Provider Enumeration Date: 08/09/2005
Last Update Date: 08/14/2013

Medical Identifiers

Medical identifiers for David W Dale such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1568463925	NPI	-	NPPES
242088722	Medicaid	MO
207623109	Medicaid	MO
598235703	Medicaid	MO
001013745	Other	MO	MEDICARE PART B
503362600	Medicaid	MO
593362601	Medicaid	MO

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	R3C32 (Missouri)	Secondary
261QR1300X	Clinic/center - Rural Health	(* (Not Available))	Primary
261Q00000X	Clinic/center	(* (Not Available))	Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. David W Dale is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
David W Dale, DO Po Box 817, Cape Girardeau, MO 63702-0817 Ph: (573) 335-4715	David W Dale, DO 1340 S Sam Houston Blvd, Houston, MO 65483-2045 Ph: (417) 967-3755

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David W Dale, DO - Clinic/Center in Houston, MO