Search › Missouri › 163WH0200X
Tommie Dale
NPI 1861995136 · on the registry since 2018
Practice
- Address
- 3834 Kentucky Derby Dr
Florissant, MO 63034 - Phone
- (314) 276-8596
Registry record
- Primary taxonomy
- 163WH0200X
163WH0200X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2018-03-13
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri