Individual
DR. PHILIP BERNARD DYDYNSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
510 S KINGSHIGHWAY BLVD, DEPT RADIOLOGY, SAINT LOUIS, MO 63110-1016
(314) 362-7200
(314) 747-4189
Mailing address
PO BOX 60352, SAINT LOUIS, MO 63160-0352
(314) 362-7200
(314) 747-4189
Taxonomy
Speciality
Code
Description
License number
State
2085P0229X
Pediatric Radiology Physician
2024008876
MO
2085R0202X
Diagnostic Radiology Physician
Primary
44140
KY
Other
Enumeration date
07/27/2007
Last updated
12/09/2024
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