Individual
DR. DAVID B BYBEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4016 DALE RD, MODESTO, CA 95356-9268
(209) 571-0288
(209) 571-0327
Mailing address
PO BOX 22955, BELFAST, ME 04915-4480
(209) 571-0288
(209) 338-6156
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
G69334
CA
207T00000X
Neurological Surgery Physician
Primary
G69334
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10944113
CAQH
CA
01
—
G69334
MEDICAL LICENSE
CA
Enumeration date
03/09/2006
Last updated
05/26/2020
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