Individual
DR. JOHN M ECKERD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
830 PENNSYLVANIA AVE, SUITE 103, CHARLESTON, WV 25302
(304) 388-1552
(304) 388-1577
Mailing address
830 PENNSYLVANIA AVE, SUITE 104, CHARLESTON, WV 25302-3302
(304) 388-1552
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
15306
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0105677000
—
WV
Enumeration date
09/22/2006
Last updated
10/03/2013
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