Vonderharr, Mark J

Vonderharr, Mark J is an individual health care provider with primary practice located at 16222 W Us Highway 24 Ste 210 , Woodland Park CO 80863-8763. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Vonderharr, Mark J can be contacted via phone (719) 365-2960.

Contact Information

Primary practice address
16222 W Us Highway 24 Ste 210 Woodland Park CO 80863-8763
Phone: (719) 365-2960
Fax: (719) 374-6212
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1518279637
LBN Legal business name Vonderharr, Mark J
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 6th, 2010
Last updated Jan 6th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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