Dyrstad, Bradley W

Dyrstad, Bradley W is an individual health care provider with primary practice located at 1 Parks Legado Ct , Odessa TX 79765-2542. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Dyrstad, Bradley W can be contacted via phone (432) 332-2663.

Contact Information

Primary practice address
1 Parks Legado Ct Odessa TX 79765-2542
Phone: (432) 332-2663
Fax: (432) 335-8849
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 35.099289 Ohio
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 60790 Wisconsin
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 125-052536 Illinois
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X P4440 Texas

Profile Details

NPI number 1366641789
LBN Legal business name Dyrstad, Bradley W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 16th, 2007
Last updated Dec 9th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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