Individual
LESLIE IPOCK VAN DYKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C
Contact information
Practice address
3511 JOHN PLATT DR, MOREHEAD CITY, NC 28557-4321
(252) 247-4297
(252) 247-1620
Mailing address
3511 JOHN PLATT DR, MOREHEAD CITY, NC 28557-4321
(252) 247-4297
(252) 247-1620
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
103155
NC
Other
Enumeration date
06/09/2006
Last updated
01/26/2022
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