Individual
DR. JOHN ELLSWORTH VANKIRK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
235 AMHERST AVE, SAN MATEO, CA 94402-2201
(650) 342-1118
(650) 579-2850
Mailing address
235 AMHERST AVE, SAN MATEO, CA 94402-2201
(650) 342-1118
(650) 579-2850
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
G24833
CA
207RC0000X
Cardiovascular Disease Physician
Primary
G24833
CA
Other
Enumeration date
09/12/2008
Last updated
09/12/2008
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