| Mr Leroy Keith Van Dyke, PA | |
|
3322 Road N Ne, Moses Lake, WA 98837-9505 | |
| (509) 793-9051 | |
| (509) 766-8585 |
| Full Name | Mr Leroy Keith Van Dyke |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 3322 Road N Ne, Moses Lake, Washington |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306842307 | NPI | - | NPPES |
| 8421323 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA10003296 (Washington) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Leroy Keith Van Dyke, PA 3322 Road N Ne, Moses Lake, WA 98837-9505 Ph: (509) 793-9051 | Mr Leroy Keith Van Dyke, PA 3322 Road N Ne, Moses Lake, WA 98837-9505 Ph: (509) 793-9051 |
Mr. Ethan D Washburn, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1550 S Pioneer Way, Moses Lake, WA 98837 Phone: 509-793-9770 | |
Chloe Noel Kesterson, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 605 S Coolidge St, Moses Lake, WA 98837 Phone: 509-765-0674 | |
Joseph Hancock, PAC Physician Assistant Medicare: Medicare Enrolled Practice Location: 1550 S Pioneer Way, Moses Lake, WA 98837 Phone: 509-793-9789 Fax: 509-764-3266 | |
Tracy L Estrellado, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 840 E Hill Ave, Moses Lake, WA 98837 Phone: 509-765-0216 | |
Ms. Jennipher Colas, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 840 E Hill Ave, Moses Lake, WA 98837 Phone: 509-663-8711 | |
Corbin Moberg, Physician Assistant Medicare: Medicare Enrolled Practice Location: 605 S Coolidge St, Moses Lake, WA 98837 Phone: 509-793-9785 Fax: 509-764-0344 | |
Mitchell David Valente, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1550 S Pioneer Way, Moses Lake, WA 98837 Phone: 509-793-9790 Fax: 509-764-3244 |