Individual
DR. BYRON F VANDENBERG
Active
Individual
DR. BYRON F VANDENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
24847
IA
207RC0000X
Cardiovascular Disease Physician
Primary
24847
IA
207RC0000X
Cardiovascular Disease Physician
G56455
CA
207UN0901X
Nuclear Cardiology Physician
G56455
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G564550
—
CA
01
—
P00081971
RAILROAD MEDICARE
CA
Enumeration date
01/24/2006
Last updated
11/25/2008
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