Individual
ANNE VANGARSSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
441 E YOSEMITE AVE, MADERA, CA 93638-3604
(559) 664-4000
Mailing address
2500 ALLUVIAL AVE, CLOVIS, CA 93611-9544
(785) 766-0119
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0429532
KS
208000000X
Pediatrics Physician
C158818
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100419740A
—
KS
Enumeration date
06/30/2005
Last updated
03/07/2022
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