Dr Peter Cummins Dyke Ii, MD | |
500 N Keene St, Suite 207, Columbia, MO 65201-8370 | |
(573) 219-3960 | |
(573) 219-3964 |
Full Name | Dr Peter Cummins Dyke Ii |
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Gender | Male |
Speciality | Pediatrics - Pediatric Cardiology |
Location | 500 N Keene St, Columbia, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1346371143 | NPI | - | NPPES |
Entity Name | St Lukes Clinic-treasure Valley Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326336058 PECOS PAC ID: 4981878402 Enrollment ID: O20111119000045 |
Mailing Address | Practice Location Address |
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Dr Peter Cummins Dyke Ii, MD Po Box 7687, Columbia, MO 65205-7687 Ph: (573) 882-2259 | Dr Peter Cummins Dyke Ii, MD 500 N Keene St, Suite 207, Columbia, MO 65201-8370 Ph: (573) 219-3960 |
Bailey M Clancy, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Hospital Drive Pediatrics Dc058.00, Columbia, MO 65212 Phone: 573-882-4438 Fax: 573-884-9992 | |
Daniela Cristina Bichianu, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1021 Hitt St, Columbia, MO 65212 Phone: 573-219-3960 Fax: 573-219-3964 | |
Dr. Danielle Renee Keebaugh, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1020 Hitt St, Columbia, MO 65212 Phone: 573-882-6544 Fax: 573-884-5179 | |
Nathan K Beckett, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 404 N Keene St, Columbia, MO 65201 Phone: 573-882-4438 Fax: 573-884-9992 | |
Abdul-azeez Abdullahi, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Hospital Dr, Columbia, MO 65212 Phone: 573-882-4438 Fax: 573-884-9992 | |
Melissa A Lawson, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1020 Hitt St, Columbia, MO 65212 Phone: 573-882-6921 Fax: 573-882-1154 | |
Dr. Laura E. Henderson Kelley, M.D, MPH Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 101 S Fairview Rd, Columbia, MO 65203 Phone: 573-882-4464 |