Donalddvandykenmdltd

NPI #1215120035 in Reno, Nevada

Provider Information

NPI Number
1215120035
Entity Type
Organization
Organization Name
Donalddvandykenmdltd
Primary Specialty
Family Medicine
Enumeration Date
Aug 24, 2007
Last Updated
Jun 27, 2008

Practice Location

Address
900 RYLAND ST
City
Reno
State
Nevada
ZIP Code
89502-1605
Phone
(775) 786-3555

Authorized Official

Name
DONALD VANDYKEN
Title
PRESIDENT
Phone
(775) 786-3555

Specialties & Taxonomy Codes

Specialty
Family Medicine

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