Organization
DOUG EITEL MD, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUGLAS RAY EITEL MD (OWNER)
(719) 776-0933
Entity
Organization
Contact information
Practice address
206 SKYLAR DR, LEWISBURG, WV 24901-9383
(719) 776-0933
(866) 810-8976
Mailing address
PO BOX 147, ALDERSON, WV 24910-0147
(719) 776-0933
(866) 810-8976
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
21057
WV
Other
Enumeration date
11/04/2015
Last updated
11/04/2015
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