Individual
DR. RICHARD P DYCHALA
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
107 1/2 S MAIN ST, BALTIMORE, OH 43105-1425
(740) 862-8480
(740) 862-2413
Mailing address
3390 BLACKLICK EASTERN RD NW, BALTIMORE, OH 43105-9639
(740) 862-6257
(740) 862-2413
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3227P1305
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0311013
—
OH
Enumeration date
02/13/2006
Last updated
07/08/2007
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