Henry John Leona Van Dyk in Tuba City - Internal Medicine

Henry John Leona Van Dyk - NPI 1093751125

Henry John Leona Van Dyk is a Internal Medicine in Tuba City, Arizona. Henry John Leona Van Dyk practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Henry John Leona Van Dyk is 1093751125. The last update date is 2007-07-08.

Henry John Leona Van Dyk's current location address is Po Box 600, Tuba City, Arizona. You can contact this provider via phone number 9282832501 and fax number 9282832677. The mailing address for Henry John Leona Van Dyk is Po Box 600, Tuba City, Arizona. To know further, please read the information below!

Provider Profile Detail

Provider Name Henry John Leona Van Dyk
Address Po Box 600, Tuba City, Arizona
Phone Number 9282832501
Fax Number 9282832677
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1093751125
Provider Enumeration Date 2006-06-20
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address Po Box 600
City Tuba City
State Arizona (AZ)
Post Code 860450600
Phone Number 9282832501
Fax Number 9282832677

Provider's Primary Taxonomy Detail

Speciality Internal Medicine
Taxonomy 207R00000X
Licence No 28767
Definition:
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
529513 AZ --

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FAQs about Henry John Leona Van Dyk

What is the unique 10-digit identification code assigned to Henry John Leona Van Dyk by the Centers for Medicare & Medicaid Services?

The Henry John Leona Van Dyk has been issued the NPI (National Provider Identifier) 1093751125, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Henry John Leona Van Dyk is physically located?

The Henry John Leona Van Dyk is physically situated at the following address: Po Box 600, Tuba City, AZ, 860450600.

What is Henry John Leona Van Dyk's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Henry John Leona Van Dyk is Internal Medicine, and the taxonomy code that categorizes this field of expertise is 207R00000X.

On what date was the 1093751125 assigned to Henry John Leona Van Dyk?

The Henry John Leona Van Dyk was issued its 1093751125 on 2006-06-20, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details related to Henry John Leona Van Dyk most recently updated or revised?

The information pertaining to Henry John Leona Van Dyk, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.

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