Individual
THOMAS C VANDERHEYDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3719 DAUPHIN ST, MOBILE, AL 36608-1753
(251) 626-5377
Mailing address
1208 US HIGHWAY 98, DAPHNE, AL 36526-4254
(251) 626-5377
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
27874
AL
207P00000X
Emergency Medicine Physician
A90522
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A905220
—
CA
01
—
51539305
BCBS OF ALABAMA
AL
Enumeration date
06/03/2006
Last updated
03/04/2020
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