Individual
ANDREW DONALD DYBALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1500 S MILL AVE, TEMPE, AZ 85281-6699
(480) 784-5533
Mailing address
1500 S MILL AVE, TEMPE, AZ 85281-6699
(480) 784-5533
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3727
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
280968
—
AZ
Enumeration date
11/05/2007
Last updated
01/08/2015
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