Organization
BRANDON CESTARIC FAMILY MEDICINE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDON A. CESTARIC DO (PHYSICIAN)
(304) 373-0280
Entity
Organization
Contact information
Practice address
RR 1 BOX 62A, RIPLEY, WV 25271-9710
(304) 373-0280
(304) 373-0281
Mailing address
RR 1 BOX 62A, RIPLEY, WV 25271-9710
(304) 373-0280
(304) 373-0281
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1905
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810010399
—
WV
Enumeration date
07/07/2006
Last updated
05/13/2008
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