Individual
PAUL E. DYBBRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2500 MERCED ST, SAN LEANDRO, CA 94577-4201
(510) 454-4715
Mailing address
2500 MERCED ST, SAN LEANDRO, CA 94577-4201
(510) 454-7527
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
G47684
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G476840
—
CA
Enumeration date
11/01/2006
Last updated
06/10/2015
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