Individual
DR. ANDREW MEDENDORP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 JARRETT WHITE RD, TRIPLER ARMY MEDICAL CENTER, HI 96859-5001
(808) 433-2595
Mailing address
1 JARRETT WHITE RD, TRIPLER ARMY MEDICAL CENTER, HI 96859-5001
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
042.0012951
VT
208800000X
Urology Physician
23990
NE
2088F0040X
Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician
Primary
23990
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1023483
—
VT
Enumeration date
01/25/2007
Last updated
02/27/2025
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