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Dr. Tyrone Wizzard, MD
Student in an Organized Health Care Education/Training Program in Vallejo, California
NPI 1942887161

Tyrone Wizzard is a Student in an Organized Health Care Education/Training Program based in Vallejo, CA. Tyrone Wizzard practices in Vallejo, CA and has the professional credentials of MD. The NPI Number for Tyrone Wizzard is 1942887161 and holds a License No. (California).

The current practice location address for Tyrone Wizzard is 975 Sereno Dr, Vallejo, CA and can be reached out via phone at 707-651-4071 and via fax at 707-651-5624.

Location: 975 Sereno Dr, Vallejo, CA, 94589-2441
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1942887161
Provider Name
Tyrone Wizzard
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
975 Sereno Dr, Vallejo, CA, 94589-2441
Phone Number
707-651-4071
Fax Number
707-651-5624
Provider Enumeration Date
03/24/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
975 Sereno Dr
City
Vallejo
State
California
Zip
94589-2441
Phone Number
707-651-4071
Fax Number
707-651-5624
person
Provider Business Mailing Address Details
Address
975 Sereno Dr
City
Vallejo
State
California
Zip
94589-2441
Phone Number
707-651-4071
Fax Number
707-651-5624
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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