| NPI | 1699714550 |
|---|---|
| Other Name | ROGER SCOTT VAN-FOSSEN |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: WV 703) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WV 703) |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2025-07-30 |