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Organization

C A CAHALL MD, INC

Active
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Organization

C A CAHALL MD, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CLEMENT A CAHALL MD (PRESIDENT)
(330) 385-9509
Entity
Organization

Contact information

Practice address
126 FOX LN, CHESTER, WV 26034-1599
(304) 387-3344
(304) 387-3006
Mailing address
205 W SIXTH ST, EAST LIVERPOOL, OH 43920-2801
(330) 385-9509
(330) 385-1008

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35081145
OH
363LF0000X
Family Nurse Practitioner
RN215713
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
C9373081
MEDICARE GROUP
WV
Enumeration date
02/25/2008
Last updated
04/18/2008
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