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Individual

ROBERT E VANVALKENBURGH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1321 COLBY AVE, EVERETT, WA 98201-1665
(425) 258-3678
(425) 258-3048
Mailing address
6131 83RD AVE SE, SNOHOMISH, WA 98290-9208

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD00019875
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
189642
L&I
01
7459VA
B/S REGENCE 90
05
8414807
WA
Enumeration date
07/07/2006
Last updated
07/08/2007
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