Bryan Vandyke, D.O

NPI 1285990374 · on the registry since 2012

Practice

Address: 2321 Coronado St
Idaho Falls, ID 83404
Phone: (208) 227-1100
Organisation at this address: Emergency Orthopedic Services Of Idaho Pllc
Summit Orthopaedics Management And Consulting, Llc
Summit Orthopaedics Management And Consulting, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 7

Registry record

Primary taxonomy: 207XX0004X
207XX0004X
Also registered as: 390200000X
Licence states on file: ID
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2019-01-23

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho