Individual
GRAHAM T ENDLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
527 MEDICAL PARK DR STE 501, BRIDGEPORT, WV 26330-9010
(304) 516-9694
Mailing address
303 N CUSTER ST, BELINGTON, WV 26250-9221
(304) 516-9694
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
OT017747
PA
2086S0129X
Vascular Surgery Physician
Primary
4397
WV
2086S0129X
Vascular Surgery Physician
T-4681
MS
Other
Enumeration date
06/21/2017
Last updated
07/23/2024
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