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Dr. Bryan Vandyke, DO
Orthopedic Foot and Ankle Surgery Physician in Idaho Falls, Idaho
NPI 1285990374

Bryan Vandyke is a Orthopedic Foot and Ankle Surgery Physician based in Idaho Falls, ID and is specialized in Foot and Ankle Surgery. Bryan Vandyke practices in Idaho Falls, ID and has the professional credentials of DO. The NPI Number for Bryan Vandyke is 1285990374 and holds a License No. (Idaho).

The current practice location address for Bryan Vandyke is 2321 Coronado St, Idaho Falls, ID and can be reached out via phone at 208-227-1100.

Location: 2321 Coronado St, Idaho Falls, ID, 83406-5114
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1285990374
Provider Name
Bryan Vandyke
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
2321 Coronado St, Idaho Falls, ID, 83406-5114
Phone Number
208-227-1100
Fax Number
Provider Enumeration Date
04/03/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2321 Coronado St
City
Idaho Falls
State
Idaho
Zip
83404-7407
Phone Number
208-227-1100
Fax Number
person
Provider Business Mailing Address Details
Address
2321 Coronado St
City
Idaho Falls
State
Idaho
Zip
83404-7407
Phone Number
208-227-1100
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Orthopedic Surgery
Speciality
Foot and Ankle Surgery
Taxonomy
207XX0004X
License No.
O-1166 (Idaho)
Definition
Recognized by several state medical boards as a fellowship subspecialty program of orthopedic surgery, foot and ankle surgeons deal with adult reconstructive foot and ankle surgery, adult foot and ankle trauma, sports medicine foot and ankle, and children's foot and ankle reconstructive surgery.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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