Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DALE A KOOISTRA, M.D., PHD.
ActiveDALE A KOOISTRA, M.D., PHD. is a Dermatology healthcare provider located in POWAY, California. NPI 1831182971 is currently active in the NPPES registry. Verify at CMS.
Dermatology · POWAY, CA
Registration Details
- NPI Number
- 1831182971
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 24, 2005 (21.005711220827 yrs)
- Last Updated
- Jul 8, 2007
- License
-
G55734 (CA)
Practice Information
- Address
-
15525 POMERADO RDSUITE D2POWAY, CA, 920642435Browse CA providers · Browse ZIP 92064
- Phone
- 8586758001
- Fax
- 8584871337
- Primary Specialty
-
Dermatology
207N00000X
Other Dermatology Providers in POWAY, CA
| Name | Credential | NPI |
|---|---|---|
| DIANE M SCOTT | MD | 1992786347 |
| STEPHEN WELLS SHEWMAKE | MD | 1912973868 |
| ERNEST STANLEY RODIER, FRCPC,INC | MD | 1134201312 |
| DR. ANNE KATHLEEN TRUITT | M.D. | 1306096680 |
| DR. PAUL CHUN-PU JOU | M.D., M.S. | 1356608319 |
| PATRICK ANDREW ARMSTRONG | M.D. | 1588008775 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.