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Individual

DR. JOHN H. VIALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
90 JACKSON PIKE, GALLIPOLIS, OH 45631-1560
(740) 446-5890
(740) 446-5532
Mailing address
90 JACKSON PIKE, GALLIPOLIS, OH 45631-1560
(740) 446-5890
(740) 446-5532

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
13304
WV
207Y00000X
Otolaryngology Physician
Primary
35-03-5150
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0101023000
WV
05
0398636
OH
Enumeration date
06/16/2006
Last updated
07/09/2007
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