Search › Washington › 363A00000X
Leroy Van Dyke, PA
NPI 1306842307 · on the registry since 2005 · sole proprietor
Practice
- Address
- 3322 Road N Ne
Moses Lake, WA 98837 - Phone
- (509) 793-9051
- Fax
- (509) 766-8585
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-01-18
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 Washington