Individual
DR. ROBERT THOMAS VANGORDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
240 RIVERSIDE DR, TIER ORTHOPAEDICS ASSOCIATES, JOHNSON CITY, NY 13790-2732
(607) 798-9356
Mailing address
240 RIVERSIDE DR, JOHNSON CITY, NY 13790-2732
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
281306
NY
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
281306
NY
Other
Enumeration date
04/13/2009
Last updated
03/23/2021
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