Individual
ISABEL CRISTINA DELTORO GORDINHO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2962 ROBERT C. BYRD DRIVE, BECKLEY, WV 25801
(304) 254-9022
(304) 254-9024
Mailing address
2962 ROBERT C. BYRD DRIVE, BECKLEY, WV 25801
(304) 254-9022
(304) 254-9024
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
0101056752
VA
207K00000X
Allergy & Immunology Physician
Primary
20422
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000385736
BLUE CROSS BLUE SHIELD
WV
05
—
005806437
—
VA
05
—
0070431000
—
WV
01
—
282724
BLUE CROSS BLUE SHIELD
VA
Enumeration date
05/08/2006
Last updated
07/10/2015
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