Individual
RICHARD VANTIENDEREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
650 HUEBNER RD, FORT RILEY, KS 66442-4030
(785) 239-7678
(785) 240-8342
Mailing address
650 HUEBNER RD, FORT RILEY, KS 66442-4030
(785) 239-3627
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
05-43800
KS
Other
Enumeration date
05/26/2015
Last updated
02/04/2022
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