CALEB J VANDERVEEN

ACOMA-CANONCITO-LAGUNA INDIAN

Dr CALEB J VANDERVEEN is a male medical professional, specializing in Family Medicine. He graduated in 2015 from Wayne State University School Of Medicine.

Contact

ACOMA-CANONCITO-LAGUNA INDIAN

80 B VETERANS BLVD
ACOMA
NM
870342147

Tel: 5055525300

CALEB J VANDERVEEN Information

Npi 1851774392
Pac Id 7810232469
Professional Enrollment Id I20181231000338
Last Name VANDERVEEN
First Name CALEB
Middle Name J
Suffix
Gender M
Credential
Medical School Name WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year 2015
Primary Specialty FAMILY MEDICINE
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name ACOMA-CANONCITO-LAGUNA INDIAN
Group Practice Pac Id 8426951682
Number Of Group Practice Members 20
Line 1 Street Address 80 B VETERANS BLVD
Line 2 Street Address
Marker Of Address Line 2 Suppression
City ACOMA
State NM
Zip Code 870342147
Phone Number 5055525300
Hospital Affiliation Ccn 1 320070
Hospital Affiliation Lbn 1 ACOMA-CANONCITO-LAGUNA IHS HOSPITAL
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
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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