Wayne Dysinger M.D.

NPI 1023121837 - Preventive Medicine - 2083X0100X

NPI Details
NPI 1023121837
Gender Male
Enumeration Date 08/16/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
25455 BARTON RD
STE 106A
LOMA LINDA CA, 92354-3128, US
Phone (909) 558-6222
Fax
Business Location
54701 FILE NUMBER
LOS ANGELES CA, 90074-4701, US
Phone (909) 558-3111
Fax
Toxanomy
Taxonomy Code 2083X0100X
License State California
License Number G72154
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According to our database, Wayne Dysinger M.D. NPI is 1023121837, taxonomy code is 2083X0100X and license number is G72154, license state is located at California. Wayne Dysinger M.D. physically located at 25455 Barton Rd, Loma Linda CA, 92354-3128. NPI Number Wayne Dysinger M.D. has the Individual type.

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1023121837 NPI number is provided on an as is basis without warranty of any kind. 1023121837 is maintained by the National Plan & Provider Enumeration System. The contents of Wayne Dysinger M.D. are for informational purposes only.