Individual
DYLAN KAUMAYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
13660 N 94TH DR STE A3, PEORIA, AZ 85381-4836
(623) 933-4645
Mailing address
13660 N 94TH DR STE A3, PEORIA, AZ 85381-4836
(623) 933-4645
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
POD-001004
AZ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/04/2018
Last updated
11/04/2021
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