Individual
MATTHEW KRANTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1600 MEDICAL CENTER DR, SUITE 2500, HUNTINGTON, WV 25701-3656
(304) 691-1200
(304) 691-1287
Mailing address
1448 10TH AVE STE 304, HUNTINGTON, WV 25701-3579
(304) 691-8714
(304) 691-8591
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
30417
WV
2086S0129X
Vascular Surgery Physician
30417
WV
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/06/2014
Last updated
11/17/2021
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