Organization
REGIONAL EYE ASSOCIATES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDGAR C GAMPONIA MD (MANAGING PARTNER)
(304) 598-3301
Entity
Organization
Contact information
Practice address
220 SOUTHVIEW DRIVE, BRIDGEPORT, WV 26330
(304) 598-3301
Mailing address
1255 PINEVIEW DR, MORGANTOWN, WV 26505-2738
(304) 598-3301
(304) 225-0516
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
12/27/2017
Last updated
12/27/2017
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