Dale A Kooistra, M.D., PHD.

NPI #1831182971 in Poway, California

Provider Information

NPI Number
1831182971
Entity Type
Individual
Name
Dale A Kooistra, M.D., PHD.
Gender
Not Specified
Sole Proprietor
Not Answered
Primary Specialty
Dermatology
Credential
M.D., PHD.
Enumeration Date
Aug 24, 2005
Last Updated
Jul 8, 2007

Practice Location

Address
15525 POMERADO RD
Address 2
SUITE D2
City
Poway
ZIP Code
92064-2435
Phone
(858) 675-8001

Specialties & Taxonomy Codes

Specialty
Dermatology

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