DR. Glen C Vandenberge, OD

NPI #1982600441 in Scottsbluff, Nebraska

Provider Information

NPI Number
1982600441
Entity Type
Individual
Name
DR. Glen C Vandenberge, OD
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Optometrist
Credential
OD
Enumeration Date
Jun 21, 2005
Last Updated
Aug 19, 2008

Practice Location

Address
416 VALLEY VIEW DR # 100
ZIP Code
69361-1486
Phone
(308) 635-1633

Specialties & Taxonomy Codes

Specialty
Optometrist

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