Scott R. Vandenberg MD

NPI 1043268055 - Pathology - 207ZP0102X

NPI Details
NPI 1043268055
Gender Male
Enumeration Date 05/04/2006
Last Updated 06/10/2008
Entity Type Individual
Active Over 11 years ago
Practice Location
513 PARNASSUS AVE
SAN FRANCISCO CA, 94143-2205, US
Phone (415) 502-7796
Fax (415) 476-1963
Business Location
1635 DIVISADERO STREET, SUITE 625, BOX 1821
SAN FRANCISCO CA, 94143-0001, US
Phone
Fax
Toxanomy
Taxonomy Code 207ZP0102X
License State California
License Number G43859
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According to our database, Dr. Scott R. Vandenberg MD NPI is 1043268055, taxonomy code is 207ZP0102X and license number is G43859, license state is located at California. Scott R. Vandenberg MD physically located at 513 Parnassus Ave, San Francisco CA, 94143-2205. NPI Number Scott R. Vandenberg MD has the Individual type.

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1043268055 NPI number is provided on an as is basis without warranty of any kind. 1043268055 is maintained by the National Plan & Provider Enumeration System. The contents of Scott R. Vandenberg MD are for informational purposes only.