Individual
DR. ROBERT DEWEY VANDENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4044 15TH AVE SE, SUITE A, LACEY, WA 98503-6962
(360) 491-4460
(360) 491-3090
Mailing address
1450 NORTHWEST LANE SE, SUITE A, LACEY, WA 98503-6962
(360) 491-4460
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
MD00028460
WA
Other
Enumeration date
02/03/2006
Last updated
12/11/2014
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