Individual
RYAN DYSART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CCP
Contact information
Practice address
2540 EAST ST, CONCORD, CA 94520-1906
(925) 682-8200
Mailing address
47 PHYLIS DR, PLEASANT HILL, CA 94523-3027
(925) 324-8406
Taxonomy
Speciality
Code
Description
License number
State
242T00000X
Perfusionist
Primary
3180330
CA
Other
Enumeration date
02/22/2018
Last updated
02/22/2018
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