Individual
GREGORY THOMAS VAN DYKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
115 MALL DR, HANFORD, CA 93230-5786
(559) 582-9000
Mailing address
2100 POWELL ST STE 400, EMERYVILLE, CA 94608-1826
(510) 350-2600
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA56877
CA
363A00000X
Physician Assistant
—
—
Other
Enumeration date
04/25/2019
Last updated
07/08/2019
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