Individual
JOHN CHANDLER VAN DYKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1118 GULF BREEZE PKWY STE 202, GULF BREEZE, FL 32561-7803
(504) 326-8518
(504) 386-8218
Mailing address
1542 TULANE AVE FL 4, NEW ORLEANS, LA 70112-2865
(504) 962-6110
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
MD.46805
AL
2085R0202X
Diagnostic Radiology Physician
Primary
ME163076
FL
208D00000X
General Practice Physician
327710
LA
Other
Enumeration date
04/06/2018
Last updated
02/07/2024
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