Individual
ROGELIO O BANTUG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
314 S WELLS ST, SISTERSVILLE, WV 26175-1098
(304) 447-2030
(304) 652-1448
Mailing address
314 S WELLS ST, SISTERSVILLE, WV 26175-1098
(304) 447-2030
(304) 652-1448
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
10665
WV
Other
Enumeration date
09/22/2005
Last updated
08/09/2023
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