Individual
BRIAN SCHAMBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 MEDICAL PARK, WHEELING, WV 26003-6379
(304) 243-3000
Mailing address
PO BOX 5307, LIMA, OH 45802-5307
(419) 223-2786
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
30298
WV
2085R0202X
Diagnostic Radiology Physician
35.140905
OH
2085R0202X
Diagnostic Radiology Physician
IP1498
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0442398
—
OH
05
—
1043607013
—
WV
Enumeration date
04/17/2015
Last updated
07/15/2021
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