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Organization
WEST VIRGINIA VASCULAR INSTITUTE PLLC
Active
Organization
WEST VIRGINIA VASCULAR INSTITUTE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HERBERT PE OYE DO (PRESIDENT)
(304) 255-3601
Entity
Organization
Contact information
Practice address
250 STANAFORD RD, STE203, BECKLEY, WV 25801-3140
(304) 255-3601
Mailing address
PO BOX 86, DANIELS, WV 25832-0086
(304) 255-3601
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
NULL
174400000X
Specialist
—
—
2086S0129X
Vascular Surgery Physician
Primary
WV1595
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0005093623
AETNA
—
01
—
001726273
BCBS
WV
05
—
3810001964
—
WV
01
—
DD3621
RR MCARE
WV
Enumeration date
05/15/2006
Last updated
06/24/2008
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