DR. Brent J. Van Andel, M.D.

NPI #1770576134 in Espanola, New Mexico

Provider Information

NPI Number: 1770576134
Entity Type: Individual
Name: DR. Brent J. Van Andel, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: M.D.
Enumeration Date: Aug 31, 2005
Last Updated: Jul 1, 2013

Practice Location

Address: 711 BOND ST
Address 2: EL CENTRO FAMILY HEALTH BOND CLINIC
City: Espanola
State: New Mexico
ZIP Code: 87532-2729
Phone: (505) 753-9503

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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