Organization
OHIO VALLEY DERMATOLOGY ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALAN M RUBEN X MD (PHYSICIAN OWNER)
(304) 232-7151
Entity
Organization
Contact information
Practice address
1038 MARKET ST, WHEELING, WV 26003-2912
(304) 232-7151
(304) 232-6128
Mailing address
1038 MARKET ST, WHEELING, WV 26003-2912
(304) 232-7151
(304) 232-6128
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
11124
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1992790158
NATIONAL PROVIDER NUMBER
WV
05
—
5900115
—
WV
Enumeration date
12/08/2006
Last updated
08/22/2020
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