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Individual

DR. ROBERT SCOT DYKSTRA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
405 MONROE ST, PELLA, IA 50219-1189
(641) 621-2200
(641) 621-2335
Mailing address
405 MONROE ST, PELLA, IA 50219-1290
(641) 621-2200
(641) 621-2335

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
11018478A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1073994059
IA
01
DO-05210
IOWA LICENSE
IA
Enumeration date
06/15/2015
Last updated
08/31/2022
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