TODD BRYAN DYKSTRA

NEW BERN, NC
NPI1154373983
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: NC  0010-12474)
Additional Taxonomies363A00000X Physician Assistant
(Licence: NY  009787-1)
363AM0700X Physician Assistant, Medical
(Licence: IA  001382)
Enumeration Date2006-05-17
Last Update Date2022-08-01
Business Address
TODD BRYAN DYKSTRA PA
2604 DR MARTIN LUTHER KING JR BLVD
NEW BERN, NC 28562-4238
Phone number: 252-638-4023
Mailing Address
TODD BRYAN DYKSTRA PA
PO BOX 68
POLLOCKSVILLE, NC 28573-0068
Phone number: 252-638-4023