Mark Vandervort, PA-C
NPI #1124214358 in Bellingham, Washington
Provider Information
- NPI Number
- 1124214358
- Entity Type
- Individual
- Name
- Mark Vandervort, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- Sep 21, 2007
- Last Updated
- Oct 21, 2009
Practice Location
- Address
- 4280 MERIDIAN ST
- Address 2
- STE 120
- City
- Bellingham
- State
- Washington
- ZIP Code
- 98226-6464
- Phone
- (360) 734-4300
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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