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Individual

DR. CHAD ALLEN ALBAUGH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1325 LOCUST AVE, FAIRMONT, WV 26554-1435
(304) 367-7510
Mailing address
244 HANALEI DR, MORGANTOWN, WV 26508-4263
(304) 288-4277

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
23379
WV
390200000X
Student in an Organized Health Care Education/Training Program

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1285831719
VA
Enumeration date
06/28/2007
Last updated
02/15/2011
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