Brandon August Cestaric DO

NPI 1093783060 - Family Medicine - 207Q00000X

NPI Details
NPI 1093783060
Gender Male
Enumeration Date 03/08/2006
Last Updated 06/30/2015
Entity Type Individual
Active Over 10 years ago
Practice Location
RIPLEY WV, 25271-1616, US
Phone (304) 372-1033
Fax (304) 373-0223
Business Location
PO BOX 609
ELIZABETH WV, 26143-0609, US
Phone (304) 275-3301
Fax (304) 373-0281
Taxonomy Code 207Q00000X
License State West Virginia
License Number 1905
Remove 1093783060 NPI Number

According to our database, Brandon August Cestaric DO NPI is 1093783060, taxonomy code is 207Q00000X and license number is 1905, license state is located at West Virginia. Brandon August Cestaric DO physically located at 512a South Church Street, Ripley WV, 25271-1616. NPI Number Brandon August Cestaric DO has the Individual type.

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1093783060 NPI number is provided on an as is basis without warranty of any kind. 1093783060 is maintained by the National Plan & Provider Enumeration System. The contents of Brandon August Cestaric DO are for informational purposes only.