Individual
ROBERT B VANCOURT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
9759 FAIRWAY DR, POWELL, OH 43065
(614) 792-3668
(614) 792-7615
Mailing address
PO BOX 1554, REYNOLDSBURG, OH 43068-6554
(614) 792-3668
(614) 792-7615
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
36003110
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2298508
—
OH
01
—
P00320863
RAILROAD MEDICARE
—
Enumeration date
11/20/2006
Last updated
02/25/2008
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