Individual
DR. JOSEPH WILLIAM VAN DERVEER III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
954 NORTH ST, SUITE 202, BOULDER, CO 80304-3307
(303) 260-9685
Mailing address
954 NORTH ST, SUITE 202, BOULDER, CO 80304-3307
(303) 260-9685
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
38540
CO
Other
Enumeration date
08/11/2007
Last updated
08/11/2007
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