Individual
DR. DARIAN JERALD VANGORKUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
750 SWIFT BLVD, STE 2, RICHLAND, WA 99352
(509) 946-7602
(509) 943-9389
Mailing address
925 STEVENS DR, STE 2D, RICHLAND, WA 99352-3523
(509) 946-7602
(509) 943-9389
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO00000620
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0480830001
DEMERC
—
05
—
1104231
—
WA
01
—
122647
L AND I
WA
Enumeration date
02/08/2007
Last updated
01/07/2020
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