Individual provider · Type 1 NPI
Walter D. Dishell, MD
Facial Plastic Surgery Physician · Encino, CA
NPI number
1760568901
Active
Practice location
16311 Ventura Blvd, Suite 550
Encino, CA 91436-4314
Fax (818) 986-7952
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Facial Plastic Surgery Physician Primary | 207YS0123X | C274780 (CA) |
Facial Plastic Surgery Physician: An otolaryngologist who specializes in facial plastic surgery.
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About NPI 1760568901
Walter D. Dishell, MD's National Provider Identifier is 1760568901, issued on Oct 31, 2006. The primary taxonomy on file is Facial Plastic Surgery Physician (207YS0123X), and the practice location is in Encino, CA. The record was last updated on Jul 8, 2007.