MEDICARE: JAMES G. DALE D.O.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	0102035799	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1336132265
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMES G. DALE D.O.

Provider Business Mailing Address
First Line	:	250 MEMORIAL DR
Second Line	:	SUITE D
City	:	LURAY
State	:	VA
Zip	:	22835-1000
Country	:	US
Telephone Number	:	540-743-6558
Fax Number	:	540-743-3601

Provider Business Practice Location Address
First Line	:	250 MEMORIAL DR
Second Line	:	SUITE D
City	:	LURAY
State	:	VA
Zip	:	22835-1000
Country	:	US
Telephone Number	:	540-743-6558
Fax Number	:	540-743-3601

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/25/2005
Last Update Date	:	02/28/2021

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Directions to “ JAMES G. DALE D.O.” Practice Location

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