Individual
DR. DALLAS JOSEPH DE LA VARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
101 THE CITY DR S, ORANGE, CA 92868-3201
(714) 456-8888
Mailing address
200 S MANCHESTER AVE STE 300, ORANGE, CA 92868-3219
(714) 456-8888
(352) 273-5575
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
A175169
CA
2084N0400X
Neurology Physician
ME158555
FL
Other
Enumeration date
06/29/2018
Last updated
07/31/2024
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