Individual
ZACHARY R VANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
124 BROOKSHIRE LN, BECKLEY, WV 25801-6761
(304) 252-8551
(304) 461-0435
Mailing address
252 RURAL ACRES DR, BECKLEY, WV 25801-3503
(304) 253-2628
(304) 252-1720
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
01352
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810013543
—
WV
Enumeration date
09/03/2008
Last updated
01/12/2025
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