Individual
DR. RYAN JOHN VANGOMPLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
600 GRESHAM DR FL 5, NORFOLK, VA 23507-1904
(757) 388-3198
(757) 388-4242
Mailing address
600 GRESHAM DR FL 5, NORFOLK, VA 23507-1904
(757) 388-3198
(757) 388-4242
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101243388
VA
208M00000X
Hospitalist Physician
0101243388
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1033319975
—
VA
Enumeration date
07/19/2007
Last updated
04/28/2025
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