Provider Demographics
NPI:1194930081
Name:DYCHE, DAMON J (MD)
Entity type:Individual
Prefix:DR
First Name:DAMON
Middle Name:J
Last Name:DYCHE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:DAMON
Other - Middle Name:JAMES
Other - Last Name:DYCHE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 3014
Mailing Address - Street 2:1215 DUFF AVE., MCFARLAND CLINIC, PC
Mailing Address - City:AMES
Mailing Address - State:IA
Mailing Address - Zip Code:50010-3014
Mailing Address - Country:US
Mailing Address - Phone:515-239-4490
Mailing Address - Fax:515-239-4771
Practice Address - Street 1:1215 DUFF AVE.,
Practice Address - Street 2:MCFARLAND CLINIC, PC
Practice Address - City:AMES
Practice Address - State:IA
Practice Address - Zip Code:50010-3014
Practice Address - Country:US
Practice Address - Phone:515-239-4490
Practice Address - Fax:515-239-4771
Is Sole Proprietor?:No
Enumeration Date:2007-05-14
Last Update Date:2020-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301085991208800000X
IA39529208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology