Individual
COLLIN ANDREW VANDEMARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2222 N NEVADA AVE STE 1, COLORADO SPRINGS, CO 80907-6794
(719) 776-5000
Mailing address
4054 BRUSHY CREEK RD, SPARKS, GA 31647-4104
(229) 834-2500
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/31/2025
Last updated
03/31/2025
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