GARY T DYKSTRA, DO, Cardiovascular Disease BARTLESVILLE, OK

Contact Information

GARY T DYKSTRA, DO

3400 SE FRANK PHILLIPS #502
BARTLESVILLE, OK 74006

Phone: 918-331-2577
Fax: 918-331-2513
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Cardiovascular Disease	207RC0000X	11	Physician/Internal Medicine

Indicates primary specialty

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NPI Profile & details for GARY T DYKSTRA · (Male)

NPI #	`1033172192`
Status	Active
Credentials	DO (Doctor of Osteopathic)
Entity	Individual
Enumeration date	04/10/2006
Last updated	11/04/2011 - About 15 years ago
Sole proprietor ¹	No
Identifiers	KS License # 05-24469 KS License # 0524469 OK License # 3077 KS Medicaid 101863 OK Medicaid 100106620A
Hospital affiliation(s)	COFFEYVILLE REGIONAL MEDICAL CENTER - (Acute Care) 1400 W 4TH ST COFFEYVILLE, KS 67337 JANE PHILLIPS MEDICAL CENTER - (Acute Care) 3500 EAST FRANK PHILLIPS BOULEVARD BARTLESVILLE, OK 74006 LABETTE HEALTH - (Acute Care) 1902 SOUTH US HWY 59 PARSONS, KS 67357 PAWHUSKA HOSPITAL INC - (Critical Access) 1101 EAST 15TH STREET PAWHUSKA, OK 74056 WILSON MEDICAL CENTER - (Critical Access) REECE CAMPUS 2600 OTTAWA ROAD NEODESHA, KS 66757

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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GARY T DYKSTRA, DO – NPI #1033172192Cardiovascular Disease

Contact Information

Specialty

Cardiovascular Disease

NPI Profile & details for GARY T DYKSTRA · (Male)

Reviews for GARY T DYKSTRA

GARY T DYKSTRA, DO – NPI #1033172192
Cardiovascular Disease