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Organization
OHIO VALLEY SURGEONS INC
Active
Organization
OHIO VALLEY SURGEONS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HOWARD L SHACKELFORD M.D. (PRESIDENT)
(740) 695-2443
Entity
Organization
Contact information
Practice address
46150 NATIONAL RD W, SAINT CLAIRSVILLE, OH 43950-8715
(740) 695-2443
Mailing address
PO BOX 6824, WHEELING, WV 26003-0921
(304) 233-2455
(304) 233-6073
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
—
NULL
208600000X
Surgery Physician
—
—
2086S0127X
Trauma Surgery Physician
—
NULL
2086S0127X
Trauma Surgery Physician
—
—
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
—
NULL
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0143295
—
OH
05
—
4000269000
—
WV
Enumeration date
05/02/2006
Last updated
02/10/2014
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