Individual
RUTH ANITA VANDERKOOI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8350 WCR 13 UNIT 160, FIRESTONE, CO 80504-6803
(303) 689-5160
(303) 689-5175
Mailing address
500 ELDORADO BLVD # 6250, BROOMFIELD, CO 80021-3408
(303) 272-0751
(303) 318-2488
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
31315
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01313154
—
CO
Enumeration date
06/15/2006
Last updated
01/15/2013
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