Organization
ANDRES L. RAGO MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDRES L. RAGO MD (PRESIDENT)
(304) 862-4611
Entity
Organization
Contact information
Practice address
135 MAIN STREET, KEYSTONE, WV 24852
(304) 862-4611
(304) 862-4611
Mailing address
HC 52 BOX 135, KEYSTONE, WV 24852-7501
(304) 862-4611
(304) 862-4611
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
11441
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0042438000
—
WV
01
—
1300188
CAREMARK
WV
Enumeration date
11/06/2006
Last updated
03/11/2008
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