Individual
MARK J VONDERHARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
16222 W US HIGHWAY 24 STE 210, WOODLAND PARK, CO 80863-8763
(719) 365-2960
(719) 374-6212
Mailing address
2695 ROCKY MOUNTAIN AVE STE 150, LOVELAND, CO 80538-9071
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
07/06/2010
Last updated
01/06/2023
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