IAN VANDERWOUDE

ALBUQUERQUE, NM
NPI1851686414
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: NM  PA2011-0015)
Enumeration Date2011-06-12
Last Update Date2011-06-12
Business Address
Mr. IAN VANDERWOUDE PA-C, MSPAS
9210 GOLF COURSE RD NW
ALBUQUERQUE, NM 87114-5891
Phone number: 505-899-3933
Mailing Address
Mr. IAN VANDERWOUDE PA-C, MSPAS
9210 GOLF COURSE RD NW
ALBUQUERQUE, NM 87114-5891
Phone number: 505-899-3933
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