Provider Demographics
NPI:1902840606
Name:RICE, WILLIAM VAN JR (MD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:VAN
Last Name:RICE
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1837 PLYMOUTH RD
Mailing Address - Street 2:
Mailing Address - City:MANHATTAN
Mailing Address - State:KS
Mailing Address - Zip Code:66503-7502
Mailing Address - Country:US
Mailing Address - Phone:915-449-3311
Mailing Address - Fax:785-239-7023
Practice Address - Street 1:IRWIN ARMY COMMUNITY HOSPITAL
Practice Address - Street 2:600 CAISSON HILL RD ATTN SURGERY
Practice Address - City:FORT RILEY
Practice Address - State:KS
Practice Address - Zip Code:66442-5001
Practice Address - Country:US
Practice Address - Phone:785-239-7163
Practice Address - Fax:785-239-7023
Is Sole Proprietor?:No
Enumeration Date:2006-06-15
Last Update Date:2023-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMMD2014-0874208600000X
IN01056629A171000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
No171000000XOther Service ProvidersMilitary Health Care Provider