DAN VANDERIET

GALLUP, NM
NPI1598186538
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: MI  4301051395)
Enumeration Date2013-12-17
Last Update Date2013-12-17
Business Address
-- DAN VANDERIET M.D.
2401 MARIYANA ST
GALLUP, NM 87301-5635
Phone number: 505-726-8360
Mailing Address
-- DAN VANDERIET M.D.
2401 MARIYANA ST
GALLUP, NM 87301-5635
Phone number: 505-726-8360
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