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Individual

DR. ASHLEY IRENE VANDERLOOP

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.P.M.

Contact information

Practice address
575 RIVERGATE UNIT 105, DURANGO, CO 81301
(970) 259-3154
(970) 828-1666
Mailing address
835 E LAMAR BLVD, #281, ARLINGTON, TX 76011-3504
(810) 869-3663

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
12-00382
KS
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
819
CO

Other

Enumeration date
05/27/2011
Last updated
05/22/2018
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