Ferdinand P Sorongon

NPI 1790817104 - Clinic/Center - 261QP2000X

NPI Details
NPI 1790817104
Enumeration Date 03/12/2007
Last Updated 06/16/2008
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name FERDINAND PADILLA FERDINAND
Position ADMINISTRATOR OWNER
Phone (304) 768-3307
Fax (304) 768-3620
Practice Location
1313 DUNBAR AVE
DUNBAR WV, 25064-2920, US
Phone (304) 768-3307
Fax (304) 768-3620
Business Location
1313 DUNBAR AVE
DUNBAR WV, 25064-2920, US
Phone (304) 768-3307
Fax (304) 768-3620
Toxanomy
Taxonomy Code 261QP2000X
License State West Virginia
License Number WV000937
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According to our database, Ferdinand P Sorongon NPI is 1790817104, taxonomy code is 261QP2000X and license number is WV000937, license state is located at West Virginia. Ferdinand P Sorongon physically located at 1313 Dunbar Ave, Dunbar WV, 25064-2920. NPI Number 1033115704 has the healthcare provider type.

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1790817104 NPI number is provided on an as is basis without warranty of any kind. 1790817104 is maintained by the National Plan & Provider Enumeration System. The contents of Ferdinand P Sorongon are for informational purposes only.