DALE A KOOISTRA

POWAY, CA
NPI1831182971
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207N00000X Dermatology
(Licence: CA  G55734)
Enumeration Date2005-08-24
Last Update Date2007-07-08
Business Address
-- DALE A KOOISTRA M.D., PhD.
15525 POMERADO RD SUITE D2
POWAY, CA 92064-2435
Phone number: 858-675-8001
Mailing Address
-- DALE A KOOISTRA M.D., PhD.
15525 POMERADO RD SUITE D2
POWAY, CA 92064-2435
Phone number: 858-675-8001
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