Individual
RALPH BROOKS VANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2510 LAKELAND DR, FLOWOOD, MS 39232-9513
(313) 916-2393
Mailing address
2510 LAKELAND DR, FLOWOOD, MS 39232-9513
(601) 355-1234
(601) 352-4882
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
24918
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09739734
—
MS
Enumeration date
06/03/2010
Last updated
01/24/2019
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