Individual
ERNESTO G DIZON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
500 S 11TH ST, SUNNYSIDE, WA 98944-2240
(509) 837-7722
Mailing address
PO BOX 719, SUNNYSIDE, WA 98944-0719
(509) 837-1617
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
053848
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
159884778C
—
GA
05
—
159884778D
—
GA
Enumeration date
07/07/2006
Last updated
03/06/2025
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