Individual
DR. DANIEL LEE VANSYOC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
USAFSAM/ACS, 2510 FIFTH STREET BUILDING 840, WRIGHT-PATTERSON AFB, OH 45433
(937) 938-2648
Mailing address
965 CHOCTAW VISTA, CHOCTAW, OK 73020
Taxonomy
Speciality
Code
Description
License number
State
2083A0100X
Aerospace Medicine Physician
Primary
22645
IA
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
22645
IA
Other
Enumeration date
10/17/2005
Last updated
02/17/2020
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