Individual
SCOTT M VANVALKENBURG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6620 FLY RD, STE 200, EAST SYRACUSE, NY 13057-9791
(315) 464-4472
(315) 464-5229
Mailing address
6620 FLY ROAD, STE 200, E. SYRACUSE, NY 13057
(315) 464-4472
(315) 464-5229
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
14250
RI
207X00000X
Orthopaedic Surgery Physician
Primary
274789
NY
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
274789
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/16/2008
Last updated
09/09/2014
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