Individual
CAMILLE DILLARD
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
120 HOBART ST, UTICA, NY 13501-4308
(315) 798-1149
(315) 734-3565
Mailing address
120 HOBART ST, UTICA, NY 13501-4308
(315) 798-1149
(315) 734-3565
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
205458-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02302578
—
NY
Enumeration date
10/19/2005
Last updated
07/09/2007
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