Individual
DR. SAMUEL DISMOND III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
436 14TH ST STE 1529, OAKLAND, CA 94612-2703
(510) 727-5126
(510) 405-6147
Mailing address
PO BOX 2238, SEBASTOPOL, CA 95473-2238
(415) 800-7667
(831) 622-8401
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
G62220
CA
Other
Enumeration date
05/24/2005
Last updated
04/09/2022
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