person
Mr. Ian Vanderwoude, PA-C,MSPAS
Medical Physician Assistant in Albuquerque, New Mexico
NPI 1851686414

Ian Vanderwoude is a Medical Physician Assistant based in Albuquerque, NM and is specialized in Medical. Ian Vanderwoude practices in Albuquerque, NM and has the professional credentials of PA-C,MSPAS. The NPI Number for Ian Vanderwoude is 1851686414 and holds a License No. PA2011-0015 (New Mexico).

The current practice location address for Ian Vanderwoude is 9210 Golf Course Rd Nw, Albuquerque, NM and can be reached out via phone at 505-899-3933.

Location: 9210 Golf Course Rd Nw, Albuquerque, NM, 87114-5891
person
Provider Profile Details
NPI Number
1851686414
Provider Name
Ian Vanderwoude
Credential
PA-C,MSPAS
Provider Entity Type
Individual
Gender
Male
Address
9210 Golf Course Rd Nw, Albuquerque, NM, 87114-5891
Phone Number
505-899-3933
Fax Number
Provider Enumeration Date
06/12/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
9210 Golf Course Rd Nw
City
State
Zip
87114-5891
Phone Number
505-899-3933
Fax Number
person
Provider Business Mailing Address Details
Address
9210 Golf Course Rd Nw
City
State
Zip
87114-5891
Phone Number
505-899-3933
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA2011-0015 (New Mexico)
Definition
Definition to come...
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