Organization · Type 2 NPI
Greenbrier Valley Ent PLLC
Facial Plastic Surgery Physician · Ronceverte, WV
NPI number
1467524082
Active
Practice location
118 Taylor Ln
Ronceverte, WV 24970-1337
Mailing address
PO Box 902
Lewisburg, WV 24901-0902
Other practice locations
- 152 Dawkins Dr, Lewisburg, WV 24901-9302 · (304) 645-0870
- 152 Dawkins Dr, Lewisburg, WV 24901-9302 · (304) 645-0870
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Facial Plastic Surgery Physician Primary | 207YS0123X | None listed |
Facial Plastic Surgery Physician: An otolaryngologist who specializes in facial plastic surgery.
2 other providers at this address
About NPI 1467524082
Greenbrier Valley Ent PLLC's National Provider Identifier is 1467524082, issued on Nov 15, 2006. The primary taxonomy on file is Facial Plastic Surgery Physician (207YS0123X), and the practice location is in Ronceverte, WV. The record was last updated on Mar 17, 2018.