DR. Theodore Richard Van Dam, M.D.
NPI #1871527226 in San Clemente, California
Provider Information
- NPI Number
- 1871527226
- Entity Type
- Individual
- Name
- DR. Theodore Richard Van Dam, M.D.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Internal Medicine
- Credential
- M.D.
- Enumeration Date
- Jul 10, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 665 CAMINO DE LOS MARES
- Address 2
- 210
- City
- San Clemente
- State
- California
- ZIP Code
- 92673
- Phone
- (949) 240-6772
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
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