Individual
DR. MATTHEW S. DYKEMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1248 KINOOLE ST, SUITE 101, HILO, HI 96720-4171
(808) 935-8398
(808) 934-8151
Mailing address
1248 KINOOLE ST, SUITE 101, HILO, HI 96720-4171
(808) 935-8398
(808) 934-8151
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DOS-1454
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1255566816
—
VA
Enumeration date
05/26/2009
Last updated
02/08/2019
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