WILLIAM VANDIVIER

ANKENY, IA
NPI1619956398
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: IA  3666)
Enumeration Date2006-01-11
Last Update Date2011-08-01
Business Address
WILLIAM VANDIVIER DO
2605 SW WHITE BIRCH DRIVE
ANKENY, IA 50023-7145
Phone number: 515-964-7965
Mailing Address
WILLIAM VANDIVIER DO
PO BOX 1475
DES MOINES, IA 50305-1475
Phone number: 515-964-7965
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