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NPI Profile for STEPHANIE VANDYKE in PHOENIX, AZ.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Pediatrics |
163WP0200X |
| NPI # | 1568791499 |
|
| Status | Active | |
| Credentials | PNP | |
| Entity | Individual | |
| Enumeration date | 12/24/2009 | |
| Last updated | 12/24/2009 - About 16 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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STEPHANIE VANDYKE
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STEPHANIE VANDYKE, PNP