Dizmang, Daryl Russell
Dizmang, Daryl Russell is an sole proprietor health care provider with primary practice located at 935 Trancas St Suite 3A, Napa CA 94558. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Dizmang, Daryl Russell can be contacted via phone (707) 253-7861.Contact Information
Primary practice address
935 Trancas St Suite 3A
Napa CA 94558
Phone: (707) 253-7861
Fax: (707) 253-8106
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | A407650 | California |
Profile Details
| NPI number | 1033222385 |
|---|---|
| LBN Legal business name | Dizmang, Daryl Russell |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 17th, 2006 |
| Last updated | Mar 18th, 2008 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1033222385 | NPPES |
| California | Other | 00A407650 | LEGACY |
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