Individual
MR. ROBERT WILLIAM DYCUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP-C
Contact information
Practice address
130 N. HIGH STREET, SHUBUTA, MS 39360-3936
(601) 687-1391
Mailing address
130 N. HIGH ST., SHUBUTA, MS 39360-9683
(601) 687-1391
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
903861
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09333052
—
MS
Enumeration date
02/19/2020
Last updated
11/10/2025
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