Organization
WOMENS HEALTH & SURGICAL CENTER MDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELMER H. VAN DYKE M.D. (PRESIDENT)
(660) 826-1381
Entity
Organization
Contact information
Practice address
3131 BRIANNA BLVD, SEDALIA, MO 65301-2285
(660) 826-1381
(660) 827-3001
Mailing address
PO BOX 1547, SEDALIA, MO 65302-1547
(660) 826-5960
(660) 826-4852
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200437408
—
MO
Enumeration date
01/29/2007
Last updated
05/27/2021
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