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Organization
ANDRES L. RAGO MD PC
Active
Organization
ANDRES L. RAGO MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDRES L. RAGO MD (PRESIDENT)
(304) 862-4611
Entity
Organization
Contact information
Practice address
135 MAIN STREET, KEYSTONE, WV 24852
(304) 862-4611
(304) 862-4611
Mailing address
HC 52 BOX 135, KEYSTONE, WV 24852-7501
(304) 862-4611
(304) 862-4611
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
11441
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0042438000
—
WV
01
—
1300188
CAREMARK
WV
Enumeration date
11/06/2006
Last updated
03/11/2008
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