Roger Vandyk CRNA

NPI 1629019575 - Nurse Anesthetist, Certified Registered - 367500000X

NPI Details
NPI 1629019575
Gender Male
Enumeration Date 06/10/2006
Last Updated 06/28/2010
Entity Type Individual
Active Over 10 years ago
Practice Location
501 20TH ST
SUITE 606
KNOXVILLE TN, 37916-1809, US
Phone (865) 546-8040
Fax (846) 541-2787
Business Location
501 20TH ST
SUITE 606
KNOXVILLE TN, 37916-1809, US
Phone (865) 546-8040
Fax
Toxanomy
Taxonomy Code 367500000X
License State Tennessee
License Number 10591
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According to our database, Roger Vandyk CRNA NPI is 1629019575, taxonomy code is 367500000X and license number is 10591, license state is located at Tennessee. Roger Vandyk CRNA physically located at 501 20th St, Knoxville TN, 37916-1809. NPI Number Roger Vandyk CRNA has the Individual type.

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1629019575 NPI number is provided on an as is basis without warranty of any kind. 1629019575 is maintained by the National Plan & Provider Enumeration System. The contents of Roger Vandyk CRNA are for informational purposes only.