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Contact Information

JOHN B DYMOND, MD
54 HOSPITAL DR
OSAGE BEACH, MO65065-3050
 Phone: 573-348-8000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
Indicates primary specialty

NPI Profile & details for JOHN B DYMOND · (Male)

NPI Number 1720064512
Status Active
Credentials MD
Entity Individual
Enumeration date 12/22/2005
Last updated 02/17/2010 - About 16 years ago
Sole proprietor 1 No
Identifiers
  • MO License # 106105
  • MO Medicaid 203906508
Hospital affiliation(s)
  • LAKE REGIONAL HEALTH SYSTEM - (Acute Care)
    54 HOSPITAL DRIVE
    OSAGE BEACH, MO 65065
  • MERCY HOSPITAL SPRINGFIELD - (Acute Care)
    1235 E CHEROKEE
    SPRINGFIELD, MO 65804
  • UNIVERSITY OF MISSOURI HEALTH CARE - (Acute Care)
    ONE HOSPITAL DRIVE, ROOM CE121, DC031,00
    COLUMBIA, MO 65212
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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