Search › Washington › 363A00000X
Johnny Vandiver, PA
NPI 1629059126 · on the registry since 2005
Practice
- Address
- 12233 24th Street
Joint Base Lewis Mchord, WA 98433 - Phone
- (253) 477-5734
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Sex
- Male
- Record last updated
- 2012-11-07
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington