Dr JON A VANDER MATEN PA is a male medical professional, specializing in Physician Assistant. He graduated in 1977.
RAPID CITY INDIAN HEALTH SERVICE HOSPITAL
3200 CANYON LAKE DR
RAPID CITY
SD
577028114
Tel: 6053552282
| Npi | 1851335905 |
| Pac Id | 4284664277 |
| Professional Enrollment Id | I20050818001115 |
| Last Name | VANDER MATEN |
| First Name | JON |
| Middle Name | A |
| Suffix | |
| Gender | M |
| Credential | PA |
| Medical School Name | OTHER |
| Graduation Year | 1977 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | RAPID CITY INDIAN HEALTH SERVICE HOSPITAL |
| Group Practice Pac Id | 4789597840 |
| Number Of Group Practice Members | 39 |
| Line 1 Street Address | 3200 CANYON LAKE DR |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | RAPID CITY |
| State | SD |
| Zip Code | 577028114 |
| Phone Number | 6053552282 |
| Hospital Affiliation Ccn 1 | 430082 |
| Hospital Affiliation Lbn 1 | RAPID CITY IHS HOSPITAL |
| Hospital Affiliation Ccn 2 | 431335 |
| Hospital Affiliation Lbn 2 | HURON REGIONAL MEDICAL CENTER |
| Hospital Affiliation Ccn 3 | |
| Hospital Affiliation Lbn 3 | |
| Hospital Affiliation Ccn 4 | |
| Hospital Affiliation Lbn 4 | |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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