Individual
DR. TOMM VANDERHORST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9830 WEST I-70 FRONTAGE RD SOUTH, WHEAT RIDGE, CO 80033
(303) 467-4100
(303) 420-0836
Mailing address
9830 WEST I-70 FRONTAGE RD SOUTH, WHEAT RIDGE, CO 80033
(303) 467-4100
(303) 420-0836
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
49492
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3239940
—
MI
Enumeration date
10/07/2005
Last updated
12/02/2010
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