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Van Dyck Asc, LLC

NPI #1760414056 in Paris, Tennessee

Provider Information

NPI Number
1760414056
Entity Type
Organization
Organization Name
Van Dyck Asc, LLC
Primary Specialty
Clinic/Center - Ambulatory Surgical
Enumeration Date
Jul 7, 2006
Last Updated
Feb 17, 2022

Practice Location

Address
1024 KELLEY DR
City
Paris
State
Tennessee
ZIP Code
38242-4500
Phone
(731) 642-5003

Authorized Official

Name
JAMES C LODEN, M.D.
Title
OWNER/MEDICAL DIRECTOR
Phone
(731) 642-5003

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Ambulatory Surgical — Ambulatory Surgical

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