Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BRYAN VANDYKE, D.O.
ActiveDR. BRYAN VANDYKE, D.O. is a Sports Medicine (Orthopaedic) healthcare provider located in IDAHO FALLS, Idaho. NPI 1285990374 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine (Orthopaedic) · IDAHO FALLS, ID
Registration Details
- NPI Number
- 1285990374
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 3, 2012 (14.373513614524 yrs)
- Last Updated
- Jan 23, 2019
- License
-
O-1166 (ID)
Practice Information
- Address
-
2321 CORONADO STIDAHO FALLS, ID, 834047407Browse ID providers · Browse ZIP 83404
- Phone
- 2082271100
- Primary Specialty
-
Sports Medicine (Orthopaedic)
207XX0004X
- Additional Specialty
- Sports Medicine (Orthopaedic)
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.