Individual
NICK GHAPHERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
106 PLAZA DRIVE, ST CLAIRSVILLE, OH 43950
(740) 296-5529
Mailing address
106 PLAZA DRIVE, ST CLAIRSVILLE, OH 43950
(740) 296-5529
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
1257
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0053105000
—
WV
05
—
0848275
—
OH
Enumeration date
08/09/2005
Last updated
06/18/2010
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