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Individual

TIMOTHY D.W. CANTERBURY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1600 MEDICAL CENTER DR, SUITE 2500, HUNTINGTON, WV 25701-3656
(304) 691-1200
(304) 691-1287
Mailing address
1600 MEDICAL CENTER DR, SUITE 2500, HUNTINGTON, WV 25701-3656
(304) 691-1200
(304) 691-1287

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
14461
WV
2086S0102X
Surgical Critical Care Physician
14461
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0124797000
WV
05
0787073
OH
05
64698491
KY
Enumeration date
03/25/2006
Last updated
11/22/2021
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