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Individual

MARK DY-LIACCO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5555 W LAS POSITAS BLVD, PLEASANTON, CA 94588-4000
(925) 416-3440
Mailing address
5555 W LAS POSITAS BLVD, PLEASANTON, CA 94588-4000

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
G192769
CA
2086S0102X
Surgical Critical Care Physician
G192769
CA

Other

Enumeration date
06/21/2006
Last updated
01/14/2025
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