Provider Demographics
NPI:1073958534
Name:DE VUYST, RICHARD CHARLES II (MD)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:CHARLES
Last Name:DE VUYST
Suffix:II
Gender:M
Credentials:MD
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Mailing Address - Street 1:415 S WALNUT ST STE 305
Mailing Address - Street 2:
Mailing Address - City:SEYMOUR
Mailing Address - State:IN
Mailing Address - Zip Code:47274-2994
Mailing Address - Country:US
Mailing Address - Phone:812-523-7466
Mailing Address - Fax:812-523-7471
Practice Address - Street 1:333 S COLUMBIA STREET
Practice Address - Street 2:
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27599-2994
Practice Address - Country:US
Practice Address - Phone:919-966-1055
Practice Address - Fax:919-966-6179
Is Sole Proprietor?:No
Enumeration Date:2013-05-09
Last Update Date:2020-04-26
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Provider Licenses
StateLicense IDTaxonomies
IN01078897A208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics