Individual
DR. CRAIG VAN DYKE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
401 PARNASSUS AVE, SAN FRANCISCO, CA 94143-2211
(415) 476-7730
(415) 476-7320
Mailing address
1635 DIVISADERO STREET, SUITE 625, BOX 1821, SAN FRANCISCO, CA 94143-0001
(415) 476-4029
(415) 476-4150
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
G24832
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0G2483200
—
CA
Enumeration date
04/14/2006
Last updated
07/09/2007
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