Individual
BRANDY LOU VANNATTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
701 MADISON AVE, MADISON, WV 25130-1669
(304) 369-1230
Mailing address
810 MIDDLE HORSE CREEK RD, JULIAN, WV 25529-9617
(304) 369-3050
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2142
WV
Other
Enumeration date
02/19/2007
Last updated
07/08/2007
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