Organization Name: | ASSOCIATED VALLEY PROVIDERS PLLC |
NPI Number: | 1043490543 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOHN L VANDERHEYDEN (OWNER) |
Mailing Address: | 4361 Talbot Rd S Suite 112 Renton |
State: | WA US |
Postal Code: | 980556226 |
Phone Number: | 4252555111 |
Fax Number: | 4252540985 |
NPI Enumeration Date: | 11/13/2007 |
NPI Last Update Date: | 09/22/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207V00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | |
Taxonomy Definition: | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |