Individual
ROGER S VANFOSSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
800 GARFIELD AVE, PARKERSBURG, WV 26101-5340
(304) 424-2355
Mailing address
PO BOX 763, MORGANTOWN, WV 26507-0763
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
703
WV
363A00000X
Physician Assistant
Primary
703
WV
Other
Enumeration date
06/06/2006
Last updated
07/30/2025
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