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Organization
PARKERSBURG INFECTIOUS DISEASE PLLC
Active
Organization
PARKERSBURG INFECTIOUS DISEASE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SEYOUM D BAGE MD (PHYSICIAN)
(304) 916-1288
Entity
Organization
Contact information
Practice address
800 GRAND CENTRAL MALL STE 10, VIENNA, WV 26105-4100
(304) 916-1288
(304) 916-1289
Mailing address
800 GRAND CENTRAL MALL STE 10, VIENNA, WV 26105-4100
(304) 916-1288
(304) 916-1289
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
—
NULL
207RI0200X
Infectious Disease Physician
Primary
—
—
Other
Enumeration date
03/12/2019
Last updated
03/12/2019
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