| Peter B. Van Dyck, Md, Pa | |
|
4601 Lake Boone Trl Ste 1b Raleigh NC 27607-7503 | |
| (919) 781-1800 | |
| (919) 781-1899 |
| Full Name | Peter B. Van Dyck, Md, Pa |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 4601 Lake Boone Trl Ste 1b, Raleigh, North Carolina |
| Authorized Official Name and Position | Peter Bern Van Dyck (PRESIDENT) |
| Authorized Official Contact | 9197811800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Peter B. Van Dyck, Md, Pa Po Box 80155 Raleigh NC 27623-0155 Ph: (919) 781-1800 | Peter B. Van Dyck, Md, Pa 4601 Lake Boone Trl Ste 1b Raleigh NC 27607-7503 Ph: (919) 781-1800 |
| NPI Number | 1255500393 |
|---|---|
| Provider Enumeration Date | 02/22/2008 |
| Last Update Date | 04/28/2020 |
| Certification Date | 04/28/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255500393 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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