Individual
JOHN T TIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
20 HOSPITAL DRIVE, LOGAN, WV 25601-0000
(304) 831-1602
(304) 831-1605
Mailing address
20 HOSPITAL DRIVE, LOGAN, WV 25601-0000
(304) 831-1602
(304) 831-1605
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
21730
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810004162
—
WV
05
—
64113574
—
KY
Enumeration date
10/25/2006
Last updated
07/24/2009
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