Individual
ADRIEL GENE DIZON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
390 NORTH LOOP ROAD, FORT IRWIN, CA 92310
(760) 383-5251
(910) 907-6099
Mailing address
2817 REILLY ROAD MCXC-COD CREDENTIALS, WOMACK ARMY MEDICAL CENTER, FORT BRAGG, NC 28310-7324
(910) 907-8922
(910) 907-6099
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01077764A
IN
Other
Enumeration date
06/18/2015
Last updated
01/28/2019
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