Individual
WILLIAM VANDIVIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2605 SW WHITE BIRCH DRIVE, ANKENY, IA 50023-7145
(515) 964-7965
(515) 964-8937
Mailing address
PO BOX 1475, DES MOINES, IA 50305-1475
(515) 964-7965
(515) 964-8937
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
3666
IA
Other
Enumeration date
01/11/2006
Last updated
08/01/2011
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