Individual
TIMOTHY AARON VANHOOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1538 KANAWHA BLVD E, CHARLESTON, WV 25311-2435
(304) 344-3457
(304) 344-3480
Mailing address
1120 KANAWHA BLVD E, CHARLESTON, WV 25301-2400
(304) 344-3457
(304) 344-3480
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
25831
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810027456
—
WV
Enumeration date
05/26/2008
Last updated
08/12/2024
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