Individual
DR. MICHAEL ELMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3100 MACCORKLE AVE SE, STE 700, CHARLESTON, WV 25304-1223
(304) 556-3810
(304) 347-1397
Mailing address
3110 MACCORKLE AVE SE, CHARLESTON, WV 25304-1210
(304) 347-1254
Taxonomy
Speciality
Code
Description
License number
State
2086X0206X
Surgical Oncology Physician
Primary
23506
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810018913
—
WV
Enumeration date
04/07/2007
Last updated
07/02/2025
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