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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