Dale Alfred Fogg, ATC
NPI #1518096809 in Sewickley, Pennsylvania
Provider Information
- NPI Number
- 1518096809
- Entity Type
- Individual
- Name
- Dale Alfred Fogg, ATC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- ATC
- Enumeration Date
- Mar 5, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 2313 MCALEER RD
- City
- Sewickley
- State
- Pennsylvania
- ZIP Code
- 15143-8620
- Phone
- (412) 369-0448
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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