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Individual

MR. NEIL ALAN VAN DYCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
311 OAK RIDGE DR, SUITE 2, ROSEVILLE, CA 95661-3427
(916) 786-3434
(916) 786-6770
Mailing address
311 OAK RIDGE DR, SUITE 2, ROSEVILLE, CA 95661-3427
(916) 786-3434
(916) 786-6770

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
E2481
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4816019
CA
Enumeration date
08/30/2006
Last updated
04/19/2013
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