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Individual

DYLAN JOHN JAMIESON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
2002 ORANGE RD STE 105, CULPEPER, VA 22701-4171
(540) 274-3205
Mailing address
2002 ORANGE RD STE 105, CULPEPER, VA 22701-4171

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
0103301317
VA
251300000X
Local Education Agency (LEA)

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
90132341
NY
Enumeration date
11/29/2017
Last updated
09/11/2024
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