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1639136617
JEFFREY TODD VAN DERMARK
DALLAS, TX
NPI
1639136617
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207PE0004X Emergency Medicine Emergency Medical Services
(Licence: TX M2848)
Enumeration Date
2006-04-26
Last Update Date
2008-04-22
Business Address
JEFFREY TODD VAN DERMARK MD
5323 HARRY HINES BLVD
DALLAS, TX 75390-7208
Phone number: 214-648-3067
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Mailing Address
JEFFREY TODD VAN DERMARK MD
PO BOX 845347
DALLAS, TX 75284-5347
Phone number: 214-648-3067
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