Individual
DOUGLAS CARL VANDER KOOI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
33 NEALY BLVD, DEPT OF RADIOLOGY, HAMPTON, VA 23665-2023
(757) 764-1987
Mailing address
33 NEALY BLVD, DEPT OF RADIOLOGY, HAMPTON, VA 23665-2023
(757) 764-1987
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
058523
GA
Other
Enumeration date
01/22/2008
Last updated
08/27/2009
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