Individual
MR. JOHN ROBERT VANDERHEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C, MPAS
Contact information
Practice address
707 PASEO DE PERALTA, SANTA FE, NM 87501-1922
(505) 989-8707
Mailing address
4604 BUTLER AVE NW, ALBUQUERQUE, NM 87114-4258
(505) 922-6462
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2003-0027
NM
Other
Enumeration date
04/27/2006
Last updated
07/08/2007
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