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Individual

PAUL E VANDYKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1824 MURDOCH AVE, PARKERSBURG, WV 26101-3230
(304) 422-6576
(304) 485-4466
Mailing address
PO BOX 1385, PARKERSBURG, WV 26102-1385
(304) 422-6576
(304) 485-4466

Taxonomy

Speciality
Code
Description
License number
State
2085N0904X
Nuclear Radiology Physician
10858
WV
2085R0202X
Diagnostic Radiology Physician
Primary
10858
WV

Other

Enumeration date
09/23/2005
Last updated
10/16/2007
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