Organization
EDWARD A. VANEK, D.O., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD ANTHONY VANEK (DO)
(209) 385-1244
Entity
Organization
Contact information
Practice address
3140 APRON AVE, ATWATER, CA 95301-5103
(209) 385-1244
(209) 385-1247
Mailing address
3140 APRON AVE, ATWATER, CA 95301-5103
(209) 385-1244
(209) 385-1247
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
20A9591
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20A9591
MEDICAL LICENSE
CA
Enumeration date
07/17/2006
Last updated
02/13/2019
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