Individual
BRADLEY W DYRSTAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 PARKS LEGADO CT, ODESSA, TX 79765-2542
(432) 332-2663
(432) 335-8849
Mailing address
1 PARKS LEGADO CT, ODESSA, TX 79765-2542
(432) 332-2663
(432) 335-8849
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
125-052536
IL
207X00000X
Orthopaedic Surgery Physician
35.099289
OH
207X00000X
Orthopaedic Surgery Physician
60790
WI
207X00000X
Orthopaedic Surgery Physician
Primary
P4440
TX
Other
Enumeration date
07/16/2007
Last updated
12/09/2021
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