Individual provider · Type 1 NPI
Jeffrey Ryan Gourley, MD
Vascular & Interventional Radiology Physician · Norfolk, VA
NPI number
1194969204
Active
Practice location
110 Kingley Lane, Suite 305
Norfolk, VA 23505-4617
Fax (757) 889-5450
Mailing address
110 Kingsley Ln Ste 305
Norfolk, VA 23505-4617
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 0101245462 (VA) |
| Vascular & Interventional Radiology Physician Primary | 2085R0204X | 0101245462 (VA) |
Vascular & Interventional Radiology Physician: A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
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About NPI 1194969204
Jeffrey Ryan Gourley, MD's National Provider Identifier is 1194969204, issued on Apr 21, 2009. The primary taxonomy on file is Vascular & Interventional Radiology Physician (2085R0204X), and the practice location is in Norfolk, VA. The record was last updated on Jun 18, 2019.