Organization
WILLIAM A SANPABLO
Active
Other names
San Pablo Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM A SAN PABLO M.D. (PHYSICIAL)
(304) 457-1306
Entity
Organization
Contact information
Practice address
2 HEALTH CARE DRIVE, PHILIPPI, WV 26416-0070
(304) 457-1306
(304) 457-1307
Mailing address
PO BOX 70, PHILIPPI, WV 26416-0070
(304) 457-1306
(304) 457-1307
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
WV11963
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0082862000
—
WV
01
—
9281882
MEDICARE GROUP NUMBER
WV
Enumeration date
05/10/2007
Last updated
10/15/2007
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