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NPI Profile for PRESTON MEMORIAL MEDICAL GROUP in KINGWOOD, WV.
A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Gynecology |
207VG0400X | 16 | Physician/Obstetrics & Gynecology |
| NPI # | 1932425790 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 04/19/2010 | |
| Last updated | 04/19/2010 - About 16 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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PRESTON MEMORIAL MEDICAL GROUP
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PRESTON MEMORIAL MEDICAL GROUP