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Individual

DR. JUSTIN M NOLTE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1600 MEDICAL CENTER DRIVE, SUITE B500, HUNTINGTON, WV 25701
(304) 691-1787
(304) 691-8711
Mailing address
1600 MEDICAL CENTER DRIVE, SUITE B500, HUNTINGTON, WV 25701
(304) 691-1787
(304) 691-8711

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
24826
WV
2084V0102X
Vascular Neurology Physician
24286
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3810023566
WV
Enumeration date
07/05/2007
Last updated
03/21/2022
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