Individual
BONNIE DIEP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1377 LOCUST AVE, FAIRMONT, WV 26554-1791
(304) 363-3500
Mailing address
1377 LOCUST AVE, FAIRMONT, WV 26554-1791
(304) 363-3500
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
32698
WV
Other
Enumeration date
07/15/2015
Last updated
02/23/2024
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