Individual
THOMAS R DYKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3344 N FUTRALL DR, FAYETTEVILLE, AR 72703-4057
(479) 521-8200
(479) 528-7310
Mailing address
PO BOX 1523, FAYETTEVILLE, AR 72702-1523
(479) 521-8200
(479) 582-7310
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
C-5278
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100079910A
—
OK
05
—
106445001
—
AR
01
—
51486
AR BC/BS
AR
01
—
P00193268
RR MCR
AR
Enumeration date
06/23/2006
Last updated
02/16/2012
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