Organization
DALE L. SYVERSON, MD, INC
Active
Other names
Dale L. Syverson
Organization subpart
No
Provider details
NPI number
Authorized official
TERESA MARIA GARATE (OFFICE MANAGER)
(530) 252-4115
Entity
Organization
Contact information
Practice address
1825 MAIN ST, SUSANVILLE, CA 96130-4518
(530) 252-4115
(530) 252-4116
Mailing address
1825 MAIN ST, SUSANVILLE, CA 96130-4518
(530) 252-4115
(530) 252-4116
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G87246
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9386136
—
CA
Enumeration date
04/28/2011
Last updated
04/28/2011
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