NPI 1912169038

Dale Medical Center

Organisation Surgery Physician Ozark, AL

Practice location

Address: 2126 W Roy Parker Rd Suite 207, Ozark, AL 36360-8566
Phone: (334) 445-6329
Fax: (334) 445-6001
Mailing address: PO Box 460, Ozark, AL 36361-0460

Authorised official

Name: Vernon Johnson
Title: Ceo
Phone: (334) 774-2601

Registered specialties

Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence 25234 (AL)

Other Surgery providers in Alabama →

Registry record

NPI: 1912169038
Entity type: Organization
NPI issued: 30 Jun 2008
Record last updated: 30 Jun 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.