Gross, Dale

Gross, Dale is an individual health care provider with primary practice located at Providence Anchorage Anesthesia Medical Group, P.C. 3300 Providence Dr., Suite 207, Anchorage AK 99508-4619. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Gross, Dale can be contacted via phone (907) 561-0005.

Contact Information

Primary practice address
Providence Anchorage Anesthesia Medical Group, P.C. 3300 Providence Dr., Suite 207 Anchorage AK 99508-4619
Fax: (907) 563-9140
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 4242 Alaska

Profile Details

NPI number 1568473031
LBN Legal business name Gross, Dale
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568473031 NPPES
Alaska MEDICAID 4242

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