Provider Demographics
NPI:1598866543
Name:DAY, DALE S (PA-C)
Entity Type:Individual
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First Name:DALE
Middle Name:S
Last Name:DAY
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Gender:M
Credentials:PA-C
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Mailing Address - Street 1:2545 S BRUCE ST
Mailing Address - Street 2:STE 8
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89109-1718
Mailing Address - Country:US
Mailing Address - Phone:702-733-0744
Mailing Address - Fax:702-796-8262
Practice Address - Street 1:2545 S BRUCE ST
Practice Address - Street 2:STE 8
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89109-1718
Practice Address - Country:US
Practice Address - Phone:702-733-0744
Practice Address - Fax:702-796-8262
Is Sole Proprietor?:No
Enumeration Date:2006-09-25
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
NV347363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical