Individual
JAMES DARYL DIZMANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
101 BODIN CIR, TRAVIS AFB, CA 94535-1809
(707) 423-7342
Mailing address
101 BODIN CIR, TRAVIS AFB, CA 94535-1809
(707) 423-7342
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101263980
VA
207RR0500X
Rheumatology Physician
Primary
0101263980
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/24/2016
Last updated
05/13/2026
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