Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Primary Care |
261QP2300X |
| NPI # | 1477198307 |
| LBN Legal business name | CHRISTOPHER J VANDELUNE DO PC |
| Authorized official | CHRISTOPHER VANDELUNE - (PHYSICIAN) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 11/14/2019 |
| Last updated | 04/16/2020 - About 6 years ago |
| Identifiers | n/a |
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