DALE BLAISE, MD

Family Medicine

Active Individual
NPI: 1770557472

Practice Address

19 E SHAWNEE DR STE 2
Murphysboro, IL 62966

Phone: (618) 684-2172

Specialties

Specialty Code Primary License
Family Medicine 207Q00000X Yes 036065426 (IL)

Frequently Asked Questions

NPI 1770557472 is the National Provider Identifier for DALE BLAISE, MD, a Family Medicine provider located in Murphysboro, IL. This NPI was enumerated on February 17, 2006.
DALE BLAISE, MD practices at 19 E SHAWNEE DR STE 2, Murphysboro, IL 62966.

Quick Facts

NPI
1770557472
Type
Individual
Enumerated
Feb 17, 2006
Last Updated
Aug 24, 2022

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