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Contact Information

HERMAN W DYKES JR, DO
86 MDG
UNIT 32115
APO, AE09094
 Phone: 314-480-8040
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine - Sports Medicine

207QS0010X 08 Physician/Family Practice
 

Military Health Care Provider

171000000X
Indicates primary specialty

NPI Profile & details for HERMAN W DYKES JR · (Male)

NPI Number 1326031014
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 08/26/2005
Last updated 06/13/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • FL License # OS10357
  • FL Medicaid 281247900
  • FL Other 7351464 AETNA
  • FL Other 319161 AVMED
  • FL Other 50487 BLUECROSS BLUESHIELD
  • FL Other 3602151 CIGNA
  • FL Other P00779273 MEDICARE RAILROAD
Hospital affiliation(s) Not Available
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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