MR. Andrew Vannatta, CO

NPI #1134493042 in Effingham, Illinois

Provider Information

NPI Number: 1134493042
Entity Type: Individual
Name: MR. Andrew Vannatta, CO
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Orthotist
Credential: CO
Enumeration Date: Feb 24, 2012
Last Updated: May 11, 2017

Practice Location

Address: 1303 W EVERGREEN AVE
Address 2: SUITE 101
City: Effingham
State: Illinois
ZIP Code: 62401-1619
Phone: (217) 342-3400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Orthotist	222Z00000X	Primary

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