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Individual

MELISSA LEE DYMOND

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
1825 E WILLOW TREE CT, GILBERT, AZ 85234-4933
(952) 595-1100
(612) 294-4903
Mailing address
11995 SINGLETREE LN, SUITE 500, EDEN PRAIRIE, MN 55344-5347
(952) 595-1301
(612) 294-4903

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
005384
AZ
2085R0202X
Diagnostic Radiology Physician
20A9404
CA
2085R0202X
Diagnostic Radiology Physician
34.007902
OH

Other

Enumeration date
07/11/2006
Last updated
08/14/2013
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