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NPI Code Detail

MEDICARE: DR. D. SCOTT DYCUS D.O.

MEDICARE:  DR. D. SCOTT  DYCUS  D.O.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician2269OK

General Provider Information

NPI Number : 1861422875
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. D. SCOTT DYCUS D.O.
Provider Business Mailing Address
First Line : 1400 SW 155TH ST
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73170-9308
Country : US
Telephone Number : 405-794-6683
Fax Number : 405-793-8703
Provider Business Practice Location Address
First Line : 320 N SERVICE RD
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73160-4945
Country : US
Telephone Number : 405-794-4474
Fax Number : 405-793-8703
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/04/2006
Last Update Date : 05/06/2008

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Directions to “ DR. D. SCOTT DYCUS D.O.” Practice Location

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