Individual
BRENDA VANDERWEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
9480 BRIAR VILLAGE PT, SUITE 200, COLORADO SPRINGS, CO 80920-7922
(719) 278-3627
(719) 623-2101
Mailing address
9480 BRIAR VILLAGE PT, SUITE 200, COLORADO SPRINGS, CO 80920-7922
(719) 278-3627
(719) 623-2101
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
352
CO
Other
Enumeration date
06/13/2006
Last updated
04/02/2009
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