William Michael Dizon, PA-C Valid NPI

Individual provider · Physician Assistant · Mountain View, CA

NPI

1730461054

Type

Individual (Type 1)

Primary specialty

Physician Assistant

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363A00000X

License number

PA21791 (CA)

Sex

Male

Sole proprietor

No

Enumerated

2011-09-13

Last updated

2016-02-04