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Dr. Elmer H Vandyke, MD
Specialist in Sedalia, Missouri
NPI 1235180142

Elmer H Vandyke is a Specialist based in Sedalia, MO. Elmer H Vandyke practices in Sedalia, MO and has the professional credentials of MD. The NPI Number for Elmer H Vandyke is 1235180142 and holds a License No. 27057 (Missouri).

The current practice location address for Elmer H Vandyke is 3131 Brianna Blvd, Sedalia, MO and can be reached out via phone at 660-826-1381 and via fax at 660-827-3001.

Location: 3131 Brianna Blvd, Sedalia, MO, 65301-2285
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1235180142
Provider Name
Elmer H Vandyke
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
3131 Brianna Blvd, Sedalia, MO, 65301-2285
Phone Number
660-826-1381
Fax Number
660-827-3001
Provider Enumeration Date
05/15/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
01881013 01 MO BLUE CROSS BLUES SHIELD
200437408 05 MO
institution
Provider Business Practice Location Address Details
Address
3131 Brianna Blvd
City
Sedalia
State
Missouri
Zip
65301-2285
Phone Number
660-826-1381
Fax Number
660-827-3001
person
Provider Business Mailing Address Details
Address
3131 Brianna Blvd
City
Sedalia
State
Missouri
Zip
65301-2285
Phone Number
660-826-1381
Fax Number
660-827-3001
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
27057 (Missouri)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
Gynecology
Taxonomy
207VG0400X
License No.
27057 (Missouri)
Definition
Definition to come...
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