Whalio Doctors

NPI 1790987410

Gary Duane Vanderark, MD

Practitioner Sports Medicine (Neuromusculoskeletal Medicine) Physician Englewood, CO

Practice location

Address
79 Glenmoor Dr, Englewood, CO 80113-7116
Phone
(303) 315-2320
Fax
(303) 315-1331
Mailing address
79 Glenmoor, Englewood, CO 80262

Registered specialties

Sports Medicine (Neuromusculoskeletal Medicine) Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 204C00000X Licence 16954 (CO)

Registry record

NPI
1790987410
Entity type
Individual
Sex (as registered)
Male
NPI issued
4 Jun 2007
Record last updated
8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.