# DR. JOHN S DRYDEN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1821076035
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208800000X | Urology Physician | E8446 | TX | Yes |

## Other

- **Enumeration date:** 01/06/2006
- **Last updated:** 06/10/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0243510001 | MEDICARE DME, PALMETTO | TX |
| 05 | — | 103595803 | — | TX |
| 01 | — | 8AT661 | BLUE CROSS & BLUE SHIELD | TX |
| 01 | — | P00474272 | RAILROAD MEDICARE | TX |