Individual
DR. DONALD EDWARD PHYKITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1 GUTHRIE SQ, SAYRE, PA 18840-1625
(570) 888-5858
Mailing address
1 GUTHRIE SQ, SAYRE, PA 18840-1625
(570) 888-5858
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
205144-1
NY
207Q00000X
Family Medicine Physician
Primary
OS007979L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0014111630002
—
PA
05
—
01488893
—
NY
01
—
080159956
RR MEDICARE PIN
PA
01
—
CC9269
RR MEDICARE GROUP
PA
01
—
GU039851
PA MEDICARE GROUP
PA
Enumeration date
02/17/2006
Last updated
03/04/2021
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