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DR. MICHAEL BRYAN DALLA BETTA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
BAYSTATE MEDICAL CENTER 759 CHESTNUT ST, SPRINGFIELD, MA 01199-0001
(413) 794-0000
Mailing address
120 W PASEO DE CRISTOBAL, SAN CLEMENTE, CA 92672-4225
(949) 370-5161

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
20A15225
CA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
03/24/2014
Last updated
12/01/2021
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