NPI 1285990374

Bryan Vandyke, DO

Practitioner Orthopaedic Foot and Ankle Surgery Physician Idaho Falls, ID

Practice location

Address: 2321 Coronado St, Idaho Falls, ID 83404-7407
Phone: (208) 227-1100
Mailing address: 3611 Boulder Creek Ln, Idaho Falls, ID 83406-5114

Registered specialties (2)

Orthopaedic Foot and Ankle Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207XX0004X Licence O-1166 (ID)

Other Orthopaedic Surgery providers in Idaho →

Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

Other Student in an Organized Health Care Education/Training Program providers in Idaho →

Registry record

NPI: 1285990374
Entity type: Individual
Sex (as registered): Male
NPI issued: 3 Apr 2012
Record last updated: 23 Jan 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.