National Provider Identifier Database

GARY T DYKSTRA, DO – NPI #1033172192
Cardiovascular Disease

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.


Contact Information

GARY T DYKSTRA, DO
3400 SE FRANK PHILLIPS #502
BARTLESVILLE, OK74006
Phone: 918-331-2577
Fax: 918-331-2513
Website:
Specialty Taxonomy Code
* Cardiovascular Disease 207RC0000X

* Indicates primary specialty

NPI Profile & details for GARY T DYKSTRA

NPI Number 1033172192
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 04/10/2006
Last updated 11/04/2011 - About 15 years ago
Sole proprietor1 No
Identifiers
  • KS License #: 05-24469
  • KS License #: 0524469
  • OK License #: 3077
  • KS Medicaid: 101863
  • OK Medicaid: 100106620A
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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