Associated Valley Providers Pllc

NPI #1043490543 in Renton, Washington

Provider Information

NPI Number: 1043490543
Entity Type: Organization
Organization Name: Associated Valley Providers Pllc
Primary Specialty: Family Medicine
Enumeration Date: Nov 13, 2007
Last Updated: Sep 22, 2009

Practice Location

Address: 4361 TALBOT RD S
Address 2: SUITE 112
City: Renton
State: Washington
ZIP Code: 98055-6226
Phone: (425) 255-5111

Authorized Official

Name: DR. JOHN L VANDERHEYDEN, M.D.
Title: OWNER
Phone: (425) 255-5111

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Obstetrics & Gynecology	207V00000X
Podiatrist - Foot & Ankle Surgery — Foot & Ankle Surgery	213ES0103X
Nurse Practitioner	363L00000X
Family Medicine	207Q00000X	Primary

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