Individual
JOHN E VANDEVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
200 HOSPITAL DR FL 2, GLEN BURNIE, MD 21061-5884
(410) 768-5555
(410) 768-5835
Mailing address
200 HOSPITAL DR FL 2, GLEN BURNIE, MD 21061-5884
(410) 768-5555
(410) 768-5835
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0002477
MD
Other
Enumeration date
06/21/2006
Last updated
02/28/2024
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