THOMAS MANFORD DALE

FAIRBANKS, AK
NPI1588651053
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant Medical
(Licence: AK  475)
Enumeration Date2005-09-30
Last Update Date2017-10-09
Business Address
THOMAS MANFORD DALE PA
1650 COWLES ST
FAIRBANKS, AK 99701-5925
Phone number: 907-458-5555
Mailing Address
THOMAS MANFORD DALE PA
607 OLD STEESE HWY SUITE B PMB255
FAIRBANKS, AK 99701-3131
Phone number: 907-388-0748
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