Dale L. Syverson, Md, INC

NPI #1154612869 in Susanville, California

Provider Information

NPI Number: 1154612869
Entity Type: Organization
Organization Name: Dale L. Syverson, Md, INC
Primary Specialty: Specialist
Enumeration Date: Apr 28, 2011
Last Updated: Apr 28, 2011

Practice Location

Address: 1825 MAIN ST
City: Susanville
State: California
ZIP Code: 96130-4518
Phone: (530) 252-4115

Authorized Official

Name: TERESA MARIA GARATE
Title: OFFICE MANAGER
Phone: (530) 252-4115

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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