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DARON DYKEMA MD
>> Family Medicine >> Allopathic & Osteopathic PhysiciansRegistrant NPI Number: 1720094220
Individual Registrant: DARON DYKEMA MD
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
1201 E 36TH AVE ANCHORAGE, AK 99508-4372 US
Tel: 907-562-9229 Fax: 907-561-4806
Tel: 907-562-9229 Fax: 907-561-4806
Contact information for business:
PO BOX 4105 PORTLAND, OR 97208-4105 US
Tel: 866-907-1068 Fax: 425-917-9141
Tel: 866-907-1068 Fax: 425-917-9141
Registration Information:
NPI: 1720094220
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 207Q00000X | Allopathic & Osteopathic Physicians Family Medicine | AK | 6031 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 1012508 | AK | 05 |
