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Individual

DR. REBECCA LUCY DYSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
914 PINE ST, MOUNT SHASTA, CA 96067-2143
(553) 092-6932
(530) 926-9855
Mailing address
PO BOX 1086, YREKA, CA 96097-1086
(560) 842-7297
(530) 842-9054

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
G79894
CA
247100000X
Radiologic Technologist
Primary
G79894
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G798940
CA
Enumeration date
06/16/2005
Last updated
07/14/2026
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