Thomas V. Vandergast MD

NPI 1962579789 - Urology - 208800000X

NPI Details
NPI 1962579789
Gender Male
Enumeration Date 11/29/2006
Last Updated 09/23/2008
Entity Type Individual
Active Over 10 years ago
Practice Location
25825 VERMONT AVE
HARBOR CITY CA, 90710-3518, US
Phone (310) 325-5111
Fax
Business Location
25825 VERMONT AVE
HARBOR CITY CA, 90710-3518, US
Phone (310) 325-5111
Fax
Toxanomy
Taxonomy Code 208800000X
License State California
License Number G36355
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According to our database, Thomas V. Vandergast MD NPI is 1962579789, taxonomy code is 208800000X and license number is G36355, license state is located at California. Thomas V. Vandergast MD physically located at 25825 Vermont Ave, Harbor City CA, 90710-3518. NPI Number Thomas V. Vandergast MD has the Individual type.

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1962579789 NPI number is provided on an as is basis without warranty of any kind. 1962579789 is maintained by the National Plan & Provider Enumeration System. The contents of Thomas V. Vandergast MD are for informational purposes only.