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Individual

DANILO J GERVACIO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
94 OLD MILL RD, MARTINSBURG, WV 25401-9284
(304) 264-8933
(304) 264-8846
Mailing address
94 OLD MILL RD, MARTINSBURG, WV 25401-9284
(304) 264-8933
(304) 264-8846

Taxonomy

Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
17603
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0060520000
WV
Enumeration date
03/28/2006
Last updated
11/07/2007
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