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Thomas Vandeven, D.O
NPI 1972859114 · on the registry since 2012 · sole proprietor
Practice
- Address
- 819 S 13th St
Src Residency Clinic
Mount Vernon, WA 98274 - Phone
- (360) 814-6230
- Clinicians at this address
- 26
Registry record
- Primary taxonomy
- Family Medicine Physician
207Q00000X
- Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2013-08-26
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington