Individual
DWAYNE LEONARD HIGHSMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
770 MASON ST FL 2D, VACAVILLE, CA 95688
(707) 427-4900
(707) 454-5901
Mailing address
PO BOX 255228, SACRAMENTO, CA 95865-5228
(800) 470-0071
(707) 454-5901
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
E3376
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000E33760
—
CA
Enumeration date
12/02/2005
Last updated
09/24/2020
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