Individual
DR. DAMIAN DYCKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
NBHC MIRAMAR, BLDG 2496 BAUER RD, SAN DIEGO, CA 92145-0001
(858) 577-9944
Mailing address
NBHC MIRAMAR, BLDG 2496 BAUER RD, SAN DIEGO, CA 92145-0001
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
92181
GA
208D00000X
General Practice Physician
0101248114
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/11/2009
Last updated
07/26/2022
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