Charles R. Vandervort is a Optometrist based in Green River, WY. Charles R. Vandervort practices in Green River, WY and has the professional credentials of OD. The NPI Number for Charles R. Vandervort is 1629047758 and holds a License No. 101T (Wyoming).
The current practice location address for Charles R. Vandervort is 665 Uinta Dr, Green River, WY and can be reached out via phone at 307-875-4538 and via fax at 307-875-8997.
Identifier | Type | State | Issuer |
---|---|---|---|
114697100 | 05 | WY | |
001798001 | 01 | WY | BLUE CROSS BLUE SHIELD |
410040553 | 01 | WY | RAILROAD MEDICARE |
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