Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DAVID D DYCK JR., D.O.
ActiveDAVID D DYCK JR., D.O. is a Sports Medicine healthcare provider located in INDEPENDENCE, Missouri. NPI 1649231051 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine · INDEPENDENCE, MO
Registration Details
- NPI Number
- 1649231051
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 28, 2006 (20.413372104617 yrs)
- Last Updated
- Feb 16, 2022
- License
-
108810 (MO)
Practice Information
- Address
-
19550 E 39TH ST SSUITE 419INDEPENDENCE, MO, 640572358Browse MO providers · Browse ZIP 64057
- Phone
- 8167958200
- Fax
- 8167957735
- Primary Specialty
-
Sports Medicine
207QS0010X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.