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Individual

ANDREW KEES ROORDA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
300 PASTEUR DR, PALO ALTO, CA 94304-2203
(304) 293-4123
Mailing address
2690 HANOVER ST, PALO ALTO, CA 94304-1117
(304) 293-4123
(304) 293-2135

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
23265
WV
207RG0100X
Gastroenterology Physician
Primary
A101729
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3810020465
WV
Enumeration date
05/13/2008
Last updated
06/18/2013
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