Individual
DAVID VANDYKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2720 STONE PARK BLVD, SIOUX CITY, IA 51104-3734
(712) 259-3000
Mailing address
2634 S HELEN ST, SIOUX CITY, IA 51106-3209
(712) 490-8908
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
104324
IA
367500000X
Certified Registered Nurse Anesthetist
Primary
D-104324
IA
Other
Enumeration date
03/18/2010
Last updated
06/15/2010
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