Individual
DALE VERNON WYVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
40075 BOB HOPE DR STE A, RANCHO MIRAGE, CA 92270-3945
(760) 341-3688
(760) 341-8992
Mailing address
39000 BOB HOPE DR, RANCHO MIRAGE, CA 92270-3221
(760) 341-3688
(760) 341-8992
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
59022
CA
Other
Enumeration date
08/01/2006
Last updated
02/20/2025
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