Individual
CODY DAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3000 COLBY ST STE 101, BERKELEY, CA 94705-2090
(510) 848-7977
(510) 848-2831
Mailing address
3000 COLBY ST STE 101, BERKELEY, CA 94705-2090
(510) 848-7977
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA63151
CA
363A00000X
Physician Assistant
—
—
Other
Enumeration date
11/30/2022
Last updated
08/14/2024
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