person
Dr. Samuel Dismond III, MD
General Practice Physician in Oakland, California
NPI 1801899570

Samuel Dismond III is a General Practice Physician based in Sebastopol, CA. Samuel Dismond III practices in Oakland, CA and has the professional credentials of MD. The NPI Number for Samuel Dismond III is 1801899570 and holds a License No. G62220 (California).

The current practice location address for Samuel Dismond III is 436 14Th St Ste 1529, Oakland, CA and can be reached out via phone at 510-727-5126 and via fax at 510-405-6147.

Location: 436 14Th St Ste 1529, Oakland, CA, 95473-2238
person
Provider Profile Details
NPI Number
1801899570
Provider Name
Samuel Dismond III
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
436 14Th St Ste 1529, Oakland, CA, 95473-2238
Phone Number
510-727-5126
Fax Number
510-405-6147
Provider Enumeration Date
05/24/2005
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
436 14Th St Ste 1529
City
State
Zip
94612-2703
Phone Number
510-727-5126
Fax Number
510-405-6147
person
Provider Business Mailing Address Details
Address
436 14Th St Ste 1529
City
State
Zip
94612-2703
Phone Number
510-727-5126
Fax Number
510-405-6147
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
G62220 (California)
Definition
Definition to come...
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