Individual
DR. ASSAAD M. MOUNZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
488 CHERRY ST, BLDG E, BLUEFIELD, WV 24701-3304
(304) 323-3018
(304) 323-3021
Mailing address
488 CHERRY ST, BLDG E, BLUEFIELD, WV 24701-3304
(304) 323-3018
(304) 323-3021
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
0101043068
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010322588
—
VA
05
—
0129976000
—
WV
01
—
218683
ANTHEM BLUE CROSS
VA
Enumeration date
07/09/2006
Last updated
08/07/2012
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