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Individual

DR. DAVID ALAN VANDYKE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
1991 VICTORY HWY, GLENDALE, RI 02826-0760
(401) 568-8555
Mailing address
PO BOX 760, GLENDALE, RI 02826-0760
(401) 568-8555

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO342
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0903046
RI
Enumeration date
02/02/2007
Last updated
07/03/2008
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