Organization
VERNON R VAN VONDEREN, MD MPH PC
Active
Organization
VERNON R VAN VONDEREN, MD MPH PC
Active
Other names
Flight Physicals Unlimited
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VERNON ROY VAN VONDEREN M.D. (PRESIDENT)
(303) 646-7071
Entity
Organization
Contact information
Practice address
34061 FOREST PARK DR, ELIZABETH, CO 80107-7842
(303) 646-4071
Mailing address
PO BOX 397, ELIZABETH, CO 80107-0397
(303) 646-4071
Taxonomy
Speciality
Code
Description
License number
State
261QX0100X
Occupational Medicine Clinic/Center
Primary
38059
CO
Other
Enumeration date
07/17/2012
Last updated
07/17/2012
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