Individual
RAYMOND P VANDENHOVEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2500 E PROSPECT RD, FORT COLLINS, CO 80525-9718
(970) 493-0112
Mailing address
2500 E PROSPECT RD, FORT COLLINS, CO 80525-9718
(970) 493-0112
Taxonomy
Speciality
Code
Description
License number
State
2081N0008X
Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician
Primary
DR.0024297
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01242973
—
CO
05
—
109130100
—
WY
01
—
250005420
RR MEDICARE
CO
Enumeration date
11/21/2005
Last updated
12/16/2019
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