Dr. Robert Dewey Vandenberg
Family Doctor - Geriatric Medicine
4044 15th Ave Se Suite A
Lacey
, Washington 98503-6962
Dr. Robert Dewey Vandenberg
Family Doctor - Geriatric Medicine
4044 15th Ave Se Suite A
Lacey
, Washington 98503-6962
(360) 491-4460
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About
Features
Specialties
- Family Doctor - Geriatric Medicine
Languages spoken
- English
Location
First Address
- Dr. Robert Dewey Vandenberg
- 1450 Northwest Lane Se Suite A
- Lacey, WA
- Zip : 98503-6962
- Phone : (360) 491-4460
Second Address
- Dr. Robert Dewey Vandenberg
- 4044 15th Ave Se Suite A
- Lacey, WA
- Zip : 98503-6962
- Fax : (360) 491-3090
- Phone : (360) 491-4460
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207QG0300X | Family Doctor - Geriatric Medicine | MD00028460 | WA |
National Provider Identifier
| NPI | 1033181003 |
|---|---|
| Provider Name | Dr. Robert Dewey Vandenberg |
| First Address | Lacey, WA 98503-6962 |
| Second Address | Lacey, WA 98503-6962 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 03/02/2006 |
| Last Update Date | 11/12/2014 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| B45084 | (02) | WA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.