Search › Utah › 111N00000X
Michael Van Dyke, D.C
NPI 1467500041 · on the registry since 2007 · sole proprietor
Practice
- Address
- 814 S 1040 W
Payson, UT 84651 - Phone
- (385) 404-5489
- Fax
- (385) 317-4241
- Organisation at this address
- Reveal Medspa
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 111N00000X
111N00000X
- Licence states on file
- UT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-02-02
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 Utah