Individual
SARA S. WOODWARD DYRSTAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1000 S COULTER ST STE 100, AMARILLO, TX 79106-1781
(806) 457-2060
Mailing address
PO BOX 911230, DALLAS, TX 75391-1230
(972) 997-8000
(972) 234-0813
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
2012007271
MO
2085R0202X
Diagnostic Radiology Physician
60898
WI
2085R0202X
Diagnostic Radiology Physician
Primary
Q2222
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
348373702
—
TX
Enumeration date
08/20/2007
Last updated
08/22/2019
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