Individual
DR. MARY E CONTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1400 HAL GREER BLVD, HUNTINGTON, WV 25701-4114
(304) 399-6501
(304) 399-6528
Mailing address
1400 HAL GREER BLVD, HUNTINGTON, WV 25701-4114
(304) 399-6501
(304) 399-6528
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
036050872
IL
174400000X
Specialist
24166
WV
174400000X
Specialist
R5635
MO
2085R0001X
Radiation Oncology Physician
Primary
24166
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036050872
—
IL
05
—
203357447
—
MO
01
—
203804
BLUE CROSS/BLUE SHIELD
MO
01
—
27934
BLUE CROSS/BLUE SHIELD
IL
01
—
27935
BLUE CHOICE
MO
01
—
920001176
RAILROAD MEDICARE
MO
01
—
P00128699
RAILROAD MEDICARE
IL
Enumeration date
02/02/2006
Last updated
11/24/2010
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