Individual
TRENT L. VANDE GARDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
619 SW CORPORATE VIEW, TOPEKA, KS 66615
(785) 235-3322
(785) 235-1217
Mailing address
619 SW CORPORATE VIEW, TOPEKA, KS 66615
(785) 235-3322
(785) 235-1217
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
04-28231
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100421700A
—
KS
01
—
101177
BCBS OF KS
KS
01
—
180042685
PALMETTO GBA
KS
Enumeration date
08/30/2006
Last updated
10/08/2013
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