Individual
RYAN FOGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
VCUHS DEPT OF UROL RESIDENCY, 980118, 1250 E. MARSHALL STREET, RICHMOND, VA 23298-0118
(804) 828-8146
Mailing address
VCUHS GMEA, PO BOX 980257, RICHMOND, VA 23298-0257
(804) 828-9783
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
VA
Other
Enumeration date
05/05/2021
Last updated
05/05/2021
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