Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Thomas Manford Dale III, PA

Individual provider Medical Physician Assistant · NPI 1588651053

Thomas Manford Dale III, PA is a Medical Physician Assistant in Fairbanks, Alaska. Licensed in Alaska. Registered with an NPI since 2005.

Licensed in
AK
In the registry since
2005
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

1650 Cowles St
Fairbanks, AK 99701-5925
Phone: (907) 458-5555
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 475 (AK)

Record details

NPI number1588651053
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedSeptember 30, 2005
Last updated in NPPESOctober 9, 2017

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