Individual
DR. PHILIP VAN ARSDALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
MADIGAN HOSPITAL 9040 JACKSON AVE, JOINT BASE LEWIS MCCHORD, WA 98431-5060
(253) 968-0770
Mailing address
WBAMC, 5005 N. PIEDRAS STREET, ATTN: GME/TRANSITION PROGRAM, EL PASO, TX 79920
(915) 742-2597
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
Primary
M15911
ID
208D00000X
General Practice Physician
M-15911
ID
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/06/2020
Last updated
03/29/2024
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