Individual
DR. ROBERT J VANGEMERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
308 MAIN STREET, OLATHE, CO 81425-0529
(970) 323-6141
(970) 323-6117
Mailing address
2233 E. MAIN STREET, BUSINESS OPTIONS MEDICAL BUILDING, MONTROSE, CO 81401-3831
(970) 765-0810
(970) 497-8410
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
16752
HI
207Q00000X
Family Medicine Physician
Primary
21454
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01214543
—
CO
01
—
16752
HI STATE LISENCE
HI
01
—
453647YS6E
MEDICARE B PTAN FOR RIVER VALLEY FAMILY HEALTH CENTER
CO
01
—
840874926001
ROCKY MOUNTAIN HEALTHPLAN
CO
01
—
RO 666431
BLUE CROSS
CO
Enumeration date
07/20/2006
Last updated
11/30/2015
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