Provider Demographics
NPI:1801990437
Name:KLEIN, DALE J (MD)
Entity type:Individual
Prefix:DR
First Name:DALE
Middle Name:J
Last Name:KLEIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:2 PROGRESS POINT PKWY
Mailing Address - Street 2:
Mailing Address - City:O FALLON
Mailing Address - State:MO
Mailing Address - Zip Code:63368-2205
Mailing Address - Country:US
Mailing Address - Phone:636-344-1000
Mailing Address - Fax:636-344-1138
Practice Address - Street 1:2 PROGRESS POINT PKWY
Practice Address - Street 2:
Practice Address - City:O FALLON
Practice Address - State:MO
Practice Address - Zip Code:63368-2205
Practice Address - Country:US
Practice Address - Phone:636-344-1000
Practice Address - Fax:314-362-1185
Is Sole Proprietor?:No
Enumeration Date:2006-09-12
Last Update Date:2020-02-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MO2006031936207L00000X, 207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine