Individual
HUGH RANDOLPH BYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3701 S HIGUERA ST STE 200, SAN LUIS OBISPO, CA 93401-7462
(805) 541-6033
(805) 540-5357
Mailing address
PO BOX 8139, SAN LUIS OBISPO, CA 93403-8139
(805) 541-6033
(805) 540-5357
Taxonomy
Speciality
Code
Description
License number
State
207ZD0900X
Dermatopathology (Pathology) Physician
57846
MA
207ZD0900X
Dermatopathology (Pathology) Physician
Primary
G88468
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BU568Y
MEDICARE PTAN
CA
Enumeration date
03/07/2007
Last updated
04/05/2011
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