Provider Demographics
NPI:1831362789
Name:DYCUS, DAWN M (MD)
Entity type:Individual
Prefix:DR
First Name:DAWN
Middle Name:M
Last Name:DYCUS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2457 E 127TH CT
Mailing Address - Street 2:
Mailing Address - City:THORNTON
Mailing Address - State:CO
Mailing Address - Zip Code:80241-2647
Mailing Address - Country:US
Mailing Address - Phone:303-942-1650
Mailing Address - Fax:
Practice Address - Street 1:183 S 18TH AVE
Practice Address - Street 2:
Practice Address - City:BRIGHTON
Practice Address - State:CO
Practice Address - Zip Code:80601-2472
Practice Address - Country:US
Practice Address - Phone:303-659-4248
Practice Address - Fax:303-659-4283
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-10
Last Update Date:2012-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO49862208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics