Individual
SPENCER OLLAYOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1325 LOCUST AVE, FAIRMONT, WV 26554-1435
(045) 347-8103
Mailing address
1325 LOCUST AVE, FAIRMONT, WV 26554-1435
(045) 347-8103
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
31599
WV
Other
Enumeration date
03/25/2019
Last updated
12/08/2022
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