Individual
NATHANIEL J VANGROUW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO, RESIDENT
Contact information
Practice address
7031 HARPER RD, GLEN DANIEL, WV 25844-9480
(304) 934-4000
(304) 934-4005
Mailing address
252 RURAL ACRES DR, BECKLEY, WV 25801-3503
(304) 252-8555
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4099
WV
207Q00000X
Family Medicine Physician
ED1024
WV
Other
Enumeration date
06/25/2021
Last updated
11/15/2024
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