Provider Demographics
NPI:1467431395
Name:DALL, DAVID A (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:A
Last Name:DALL
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1580 VALENCIA ST
Mailing Address - Street 2:#607
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94110
Mailing Address - Country:US
Mailing Address - Phone:415-826-3355
Mailing Address - Fax:415-826-3398
Practice Address - Street 1:1580 VALENCIA ST
Practice Address - Street 2:#607
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94110
Practice Address - Country:US
Practice Address - Phone:415-826-3355
Practice Address - Fax:415-826-3398
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-10
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAC232240207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
A32341Medicare UPIN