Provider Demographics
NPI:1366438582
Name:CARROLL, DALE ALAN (MD, MPH)
Entity type:Individual
Prefix:DR
First Name:DALE
Middle Name:ALAN
Last Name:CARROLL
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Gender:M
Credentials:MD, MPH
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Mailing Address - Street 1:917 RIDGEWOOD RD
Mailing Address - Street 2:
Mailing Address - City:HARRISONBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22801-3333
Mailing Address - Country:US
Mailing Address - Phone:540-564-7060
Mailing Address - Fax:540-433-4576
Practice Address - Street 1:235 CANTRELL AVE
Practice Address - Street 2:ROCKINGHAM MEMORIAL HOSPITAL
Practice Address - City:HARRISONBURG
Practice Address - State:VA
Practice Address - Zip Code:22801-3248
Practice Address - Country:US
Practice Address - Phone:540-564-7060
Practice Address - Fax:540-433-4576
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-09-22
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA0101230772207QA0505X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult Medicine