Individual
DR. ALVIN RENATO CASTILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3508 STAUNTON AVE SE, CHARLESTON, WV 25304-1477
(304) 926-0427
(304) 925-8075
Mailing address
3508 STAUNTON AVE SE, CHARLESTON, WV 25304-1477
(304) 926-0427
(304) 925-8075
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
22242
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810005270
—
WV
Enumeration date
04/18/2006
Last updated
07/13/2007
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