Individual
CONSUELOS S. DIZON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
OAK VALLEY HOSPITAL, 350 SOUTH OAK AVE., OAKDALE, CA 95361
(303) 848-4192
Mailing address
874 E WOODWARD AVE SPC 32, MANTECA, CA 95337-9244
(510) 995-1653
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A26445
CA
Other
Enumeration date
07/05/2006
Last updated
03/07/2023
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