Individual
RICHARD VANDEGRAAF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
102 N MAGDALEN ST, SAN ANGELO, TX 76903-5400
(325) 481-2344
Mailing address
102 N MAGDALEN ST, SAN ANGELO, TX 76903-5400
(325) 481-2344
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
MT216889
PA
208600000X
Surgery Physician
Primary
U7073
TX
Other
Enumeration date
06/27/2018
Last updated
10/25/2023
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