Individual
MR. TERRY ODELL VANCE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
301 SCOTT AVE, MORGANTOWN, WV 26508-8804
(304) 296-1731
Mailing address
301 SCOTT AVE, MORGANTOWN, WV 26508-8804
(304) 296-1731
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
WV
Other
Enumeration date
07/07/2026
Last updated
07/07/2026
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