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
ZIP Code
98226-6464
Phone
(360) 734-4300

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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