Tarah Raeann Cogar PA-C

NPI 1205169240 - Physician Assistant - 363A00000X

NPI Details
NPI 1205169240
Gender Female
Enumeration Date 09/09/2009
Last Updated 08/07/2013
Entity Type Individual
Active Over 7 years ago
Practice Location
701 MADISON AVE
MADISON WV, 25130-1669, US
Phone (304) 369-1230
Fax (304) 369-1525
Business Location
559 HUBERT HILL RD
CHAPMANVILLE WV, 25508-5257, US
Phone (304) 688-3311
Fax
Toxanomy
Taxonomy Code 363A00000X
License State West Virginia
License Number 476
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According to our database, Mrs. Tarah Raeann Cogar PA-C NPI is 1205169240, taxonomy code is 363A00000X and license number is 476, license state is located at West Virginia. Tarah Raeann Cogar PA-C physically located at 701 Madison Ave, Madison WV, 25130-1669. NPI Number Tarah Raeann Cogar PA-C has the Individual type.

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1205169240 NPI number is provided on an as is basis without warranty of any kind. 1205169240 is maintained by the National Plan & Provider Enumeration System. The contents of Tarah Raeann Cogar PA-C are for informational purposes only.