SAMUEL DISMOND MD

LIVE WELL MEDICAL CENTER INC

Dr SAMUEL DISMOND MD is a male medical professional, specializing in General Practice. He graduated in 1986.

Contact

LIVE WELL MEDICAL CENTER INC

2828 MILLS PARK DR
SUITE B
RANCHO CORDOVA
CA
956704711

Tel: 9163680816

SAMUEL DISMOND MD Information

Npi 1801899570
Pac Id 3870698590
Professional Enrollment Id I20070424000719
Last Name DISMOND
First Name SAMUEL
Middle Name
Suffix
Gender M
Credential MD
Medical School Name OTHER
Graduation Year 1986
Primary Specialty GENERAL PRACTICE
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name LIVE WELL MEDICAL CENTER INC
Group Practice Pac Id 1254572027
Number Of Group Practice Members 3
Line 1 Street Address 2828 MILLS PARK DR
Line 2 Street Address SUITE B
Marker Of Address Line 2 Suppression
City RANCHO CORDOVA
State CA
Zip Code 956704711
Phone Number 9163680816
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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