Organization
CAMILLE D DILLARD
Active
Other names
Camille Dillard DO
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CAMILLE D DILLARD DO (PHYSICIAN OWNER)
(888) 338-9355
Entity
Organization
Contact information
Practice address
900 ERIE BLVD W, ROME, NY 13440-2904
(888) 338-9355
(315) 337-2947
Mailing address
PO BOX 95, NEW YORK MILLS, NY 13417-0095
(315) 736-2080
(315) 736-2162
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
205458
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02302578
—
NY
Enumeration date
08/05/2007
Last updated
03/18/2008
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