Individual
DR. MICHAEL A GENTILE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1600 MEDICAL CENTER DR STE G500, HUNTINGTON, WV 25701-3659
(304) 691-1262
Mailing address
12672 NW BARNES RD STE 100, PORTLAND, OR 97229-6191
(503) 336-0169
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
10473
WV
213ES0103X
Foot & Ankle Surgery Podiatrist
DP00371
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
240474
—
OR
Enumeration date
03/21/2006
Last updated
11/17/2021
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