Individual
RYAN FOGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
535 BARNHILL DR, INDIANAPOLIS, IN 46202-5116
(317) 278-0221
Mailing address
535 BARNHILL DR, INDIANAPOLIS, IN 46202-5116
(317) 278-0221
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
01099672A
IN
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
VA
Other
Enumeration date
05/05/2021
Last updated
06/15/2026
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