Individual
ERIC JOHN VARGAS VANDERLEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
20 S PLUM ST, VERMILLION, SD 57069-3346
(605) 677-3700
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
CR001166
SD
367500000X
Certified Registered Nurse Anesthetist
D174305
IA
Other
Enumeration date
05/24/2023
Last updated
08/15/2024
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