Individual
MR. IAN VANDERWOUDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C, MSPAS
Contact information
Practice address
9210 GOLF COURSE RD NW, ALBUQUERQUE, NM 87114-5891
(505) 899-3933
Mailing address
9210 GOLF COURSE RD NW, ALBUQUERQUE, NM 87114-5891
(505) 899-3933
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA2011-0015
NM
Other
Enumeration date
06/12/2011
Last updated
09/15/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us