Organization
DERM ONE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID L TOLLIVER D.O. (PRESIDENT)
(276) 326-3376
Entity
Organization
Contact information
Practice address
34 NEW HOPE RD, SUITE 1, PRINCETON, WV 24740-2354
(304) 425-9448
(304) 431-2589
Mailing address
34 NEW HOPE RD, SUITE 1, PRINCETON, WV 24740-2354
(304) 425-9448
(304) 431-2589
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
12/14/2012
Last updated
12/14/2012
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