Provider Demographics
NPI:1306136494
Name:STAPLER, DALE C JR (MD)
Entity type:Individual
Prefix:DR
First Name:DALE
Middle Name:C
Last Name:STAPLER
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:BO
Other - Middle Name:
Other - Last Name:STAPLER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:1233 N 30TH ST
Mailing Address - Street 2:
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59101-0127
Mailing Address - Country:US
Mailing Address - Phone:406-237-3850
Mailing Address - Fax:406-237-3855
Practice Address - Street 1:1233 N 30TH ST
Practice Address - Street 2:
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59101-0127
Practice Address - Country:US
Practice Address - Phone:406-237-3850
Practice Address - Fax:406-237-3855
Is Sole Proprietor?:No
Enumeration Date:2011-04-11
Last Update Date:2015-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT41658207R00000X, 208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics