BRENT J. VAN ANDEL

ESPANOLA, NM
NPI1770576134
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: NM  2004-0159)
Enumeration Date2005-08-31
Last Update Date2013-07-01
Business Address
Dr. BRENT J. VAN ANDEL M.D.
711 BOND ST EL CENTRO FAMILY HEALTH BOND CLINIC
ESPANOLA, NM 87532-2729
Phone number: 505-753-9503
Mailing Address
Dr. BRENT J. VAN ANDEL M.D.
PO BOX 158 EL CENTRO FAMILY HEALTH
ESPANOLA, NM 87532-0158
Phone number: 505-753-7218