Individual
RICHARD DYKSTRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
180 FLOYD AVE, ROCKY MOUNT, VA 24151-1318
(540) 483-5277
(540) 489-6453
Mailing address
213 S JEFFERSON ST STE 1006, ROANOKE, VA 24011-1713
(540) 224-5352
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0101267433
VA
207P00000X
Emergency Medicine Physician
2020-02936
NC
Other
Enumeration date
03/27/2017
Last updated
05/31/2023
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