Individual provider · Type 1 NPI

Leroy Keith Van Dyke, PA

Physician Assistant · Moses Lake, WA

NPI number 1306842307 Active

Practice location

3322 Road N NE
Moses Lake, WA 98837-9505

Call (509) 793-9051 Map

Fax (509) 766-8585

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA10003296 (WA)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1306842307

Leroy Keith Van Dyke, PA's National Provider Identifier is 1306842307, issued on Jun 23, 2005. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Moses Lake, WA. The record was last updated on Jan 18, 2024.