Individual
BRIAN DALE VANDER WERF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2755 HERNDON AVE, CLOVIS, CA 93611-6800
(559) 324-4000
(602) 839-2084
Mailing address
PO BOX 7096, STOCKTON, CA 95267-0096
(209) 956-7725
(209) 956-7733
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A135115
CA
207R00000X
Internal Medicine Physician
R73818
AZ
Other
Enumeration date
05/20/2013
Last updated
12/22/2016
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