Saravut S Fung M.D.

NPI 1093913840 - Ophthalmology - 207W00000X

NPI Details
NPI 1093913840
Gender Male
Enumeration Date 07/03/2007
Last Updated 10/12/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
211 S CHESTNUT ST
CLARKSBURG WV, 26301-2832, US
Phone (304) 624-5212
Fax (304) 623-5812
Business Location
211 S CHESTNUT ST
CLARKSBURG WV, 26301-2832, US
Phone (304) 624-5212
Fax
Toxanomy
Taxonomy Code 207W00000X
License State West Virginia
License Number 09963
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According to our database, Dr. Saravut S Fung M.D. NPI is 1093913840, taxonomy code is 207W00000X and license number is 09963, license state is located at West Virginia. Saravut S Fung M.D. physically located at 211 S Chestnut St, Clarksburg WV, 26301-2832. NPI Number Saravut S Fung M.D. has the Individual type.

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1093913840 NPI number is provided on an as is basis without warranty of any kind. 1093913840 is maintained by the National Plan & Provider Enumeration System. The contents of Saravut S Fung M.D. are for informational purposes only.