Dr. Mitzi Johanna Palazzolo
Oral and Maxillofacial Pathology
101 Bodin Cir
Travis Afb
, California 94535-1809
Dr. Mitzi Johanna Palazzolo
Oral and Maxillofacial Pathology
101 Bodin Cir
Travis Afb
, California 94535-1809
(707) 423-3000
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About
Features
Specialties
- Oral and Maxillofacial Pathology
Languages spoken
- English
Location
First Address
- Dr. Mitzi Johanna Palazzolo
- 101 Bodin Cir
- Travis Afb, CA
- Zip : 94535-1809
- Phone : (707) 423-3000
Second Address
- Dr. Mitzi Johanna Palazzolo
- 101 Bodin Cir
- Travis Afb, CA
- Zip : 94535-1809
- Phone : (707) 423-3000
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Is Dr. Mitzi Johanna Palazzolo a sole practitioner?
Is Dr. Mitzi Johanna Palazzolo accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223P0106X | Oral and Maxillofacial Pathology | DTP502 | FL |
National Provider Identifier
| NPI | 1770747966 |
|---|---|
| Provider Name | Dr. Mitzi Johanna Palazzolo |
| First Address | Travis Afb, CA 94535-1809 |
| Second Address | Travis Afb, CA 94535-1809 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/07/2008 |
| Last Update Date | 06/01/2022 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.