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Timothy A Van Dyne Dpm Inc
Podiatric Clinic/Center in Fresno, California
NPI 1962629824

Timothy A Van Dyne Dpm Inc is a Podiatric Clinic/Center based in Fresno, CA and is specialized in Podiatric. Timothy A Van Dyne Dpm Inc practices in Fresno, CA. The NPI Number for Timothy A Van Dyne Dpm Inc is 1962629824 and holds a License No. E2025 (California).

The current practice location address for Timothy A Van Dyne Dpm Inc is 5777 N Fresno St, Fresno, CA and can be reached out via phone at 559-435-0261.

Location: 5777 N Fresno St, Fresno, CA, 93710-6065
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1962629824
Provider Name
Timothy A Van Dyne Dpm Inc
Credential
Provider Entity Type
Organization
Address
5777 N Fresno St, Fresno, CA, 93710-6065
Phone Number
559-435-0261
Fax Number
Provider Enumeration Date
04/19/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
E2025 01 CA MEDICARE ID 000E20250
institution
Provider Business Practice Location Address Details
Address
5777 N Fresno St
City
Fresno
State
California
Zip
93710-6065
Phone Number
559-435-0261
Fax Number
person
Provider Business Mailing Address Details
Address
5777 N Fresno St
City
Fresno
State
California
Zip
93710-6065
Phone Number
559-435-0261
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Podiatric
Taxonomy
261QP1100X
License No.
E2025 (California)
Definition
Definition to come...
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