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Individual

DR. JOSHUA ROBERT VANGOMPEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
39350 CIVIC CENTER DR STE 300, FREMONT, CA 94538-2331
(510) 797-3933
(510) 797-5184
Mailing address
39350 CIVIC CENTER DR STE 300, FREMONT, CA 94538-2331
(510) 797-3933
(510) 797-5184

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
E4711
CA
213ES0000X
Sports Medicine Podiatrist
E4711
CA
213ES0103X
Foot & Ankle Surgery Podiatrist
908-25
WI
213ES0103X
Foot & Ankle Surgery Podiatrist
E4711
CA
213ES0131X
Foot Surgery Podiatrist
E4711
CA

Other

Enumeration date
02/01/2007
Last updated
05/15/2015
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