Organization
RENAL CONSULTANTS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JULIAN LLADO ESPIRITU JR. M.D. (SOLE PROPRIETOR)
(304) 720-5000
Entity
Organization
Contact information
Practice address
24 MACCORKLE AVE SW, SUITE 201, SOUTH CHARLESTON, WV 25303-1476
(304) 720-5000
(304) 720-5003
Mailing address
24 MACCORKLE AVE SW, SUITE 201, SOUTH CHARLESTON, WV 25303-1476
(304) 720-5000
(304) 720-5003
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4000438000
—
WV
01
—
9310001
MEDICARE PTAN
WV
Enumeration date
09/14/2005
Last updated
03/31/2015
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