Robert Vanderleest MD

NPI 1639254394 - Dermatology - 207N00000X

NPI Details
NPI 1639254394
Gender Male
Enumeration Date 10/25/2006
Last Updated 01/15/2014
Entity Type Individual
Active Over 10 years ago
Practice Location
800 E BROWARD BLVD
SUITE 507
FORT LAUDERDALE FL, 33301-2008, US
Phone (954) 763-4331
Fax
Business Location
800 CREEK DR
MENLO PARK CA, 94025-5317, US
Phone (650) 324-9135
Fax
Toxanomy
Taxonomy Code 207N00000X
License State California
License Number G46075
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According to our database, Robert Vanderleest MD NPI is 1639254394, taxonomy code is 207N00000X and license number is G46075, license state is located at California. Robert Vanderleest MD physically located at 800 E Broward Blvd, Fort Lauderdale FL, 33301-2008. NPI Number Robert Vanderleest MD has the Individual type.

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1639254394 NPI number is provided on an as is basis without warranty of any kind. 1639254394 is maintained by the National Plan & Provider Enumeration System. The contents of Robert Vanderleest MD are for informational purposes only.