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Individual

DR. JESSIKA SILVIA DINGWALL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1200 COLLEGE DR, ROCK SPRINGS, WY 82901-5868
(307) 350-8577
(307) 875-8800
Mailing address
3851 ROGER BROOKE DR, MCHE-QD (CREDS), FORT SAM HOUSTON, TX 78234-4501

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
0101248207
VA
2085R0202X
Diagnostic Radiology Physician
Primary
TL3383
WY

Other

Enumeration date
06/08/2009
Last updated
03/03/2016
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