Individual
MR. MIKE DON DYSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S.P.S.
Contact information
Practice address
202 S. WASHITA, WYNNEWOOD, OK 73098
(405) 665-4385
Mailing address
206 E. ROBERT S. KERR BLVD., WYNNEWOOD, OK 73098
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
06/29/2007
Last updated
02/02/2010
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