Individual
ANDREY VICTOR DYKAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6501 COYLE AVE, CARMICHAEL, CA 95608
(916) 537-5000
(916) 851-2884
Mailing address
PO BOX 7096, STOCKTON, CA 95267-0096
(209) 956-7725
(209) 956-7733
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A142465
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/01/2014
Last updated
10/04/2018
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