Individual
JEFFREY A DYNEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
1341
NE
363AM0700X
Medical Physician Assistant
1353
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10026072500
—
NE
05
—
10026072600
—
NE
05
—
200022270A
—
OK
01
—
P00128663
MEDICARE RAILROAD
OK
Enumeration date
01/27/2006
Last updated
06/03/2013
Update your record
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