Individual
WYATT DANIEL VANDER VOORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
101 BODIN CIR, TRAVIS AFB, CA 94535-1809
(707) 423-5270
Mailing address
101 BODIN CIR, TRAVIS AFB, CA 94535-1809
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
35.150344
OH
207X00000X
Orthopaedic Surgery Physician
Primary
A182004
CA
Other
Enumeration date
03/22/2019
Last updated
04/13/2026
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