Organization
NEIL A VAN DYCK, DPM, PODIATRY CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RUSTY SPARKMAN (BILLING MANAGER)
(916) 640-0515
Entity
Organization
Contact information
Practice address
1650 LEAD HILL BLVD, # 100, ROSEVILLE, CA 95661-3061
(916) 786-3434
(916) 786-6770
Mailing address
1650 LEAD HILL BLVD, # 100, ROSEVILLE, CA 95661-3061
(916) 786-3434
(916) 786-6770
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
E2481
CA
Other
Enumeration date
03/18/2011
Last updated
09/04/2013
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