Roger S Van Fossen PA

NPI 1699714550 - Emergency Medicine - 207P00000X

NPI Details
NPI 1699714550
Gender Male
Enumeration Date 06/06/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
PARKERSBURG WV, 26101-5340, US
Phone (304) 424-2111
Fax (904) 346-0113
Business Location
PO BOX 75113
BALTIMORE MD, 21275-5113, US
Phone (304) 422-1666
Fax (904) 346-0113
Taxonomy Code 207P00000X
License State West Virginia
License Number 703
Remove 1699714550 NPI Number

According to our database, Roger S Van Fossen PA NPI is 1699714550, taxonomy code is 207P00000X and license number is 703, license state is located at West Virginia. Roger S Van Fossen PA physically located at 800 Garfield Ave, Parkersburg WV, 26101-5340. NPI Number Roger S Van Fossen PA has the Individual type.

1699714550 NPI number is provided on an as is basis without warranty of any kind. 1699714550 is maintained by the National Plan & Provider Enumeration System. The contents of Roger S Van Fossen PA are for informational purposes only.