Individual
DR. PAUL J CLANCY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 HOSPITAL DR, SPENCER, WV 25276-1050
(304) 927-6819
(304) 927-6837
Mailing address
200 HOSPITAL DR, SPENCER, WV 25276-1050
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
18263
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001718060
WV BCBS
WV
05
—
0046206000
—
WV
01
—
1053515
WV DWC
WV
01
—
930114604
CH1 RAILROAD MEDICARE
WV
01
—
930118819
CH2 RAILROAD MEDICARE
WV
Enumeration date
12/29/2005
Last updated
01/20/2011
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