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Individual

DR. MILAGROS MERCEDES VIDOT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
500 CHERRY ST, ATTN: HOSPITALISTS OFFICE, BLUEFIELD, WV 24701-3306
(304) 327-1145
(304) 327-1139
Mailing address
500 CHERRY ST, ATTN: HOSPITALISTS OFFICE, BLUEFIELD, WV 24701-3306
(304) 327-1145
(304) 327-1139

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
20921
WV
207Q00000X
Family Medicine Physician
Primary
0101240661
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
001722256
BLUE CROSS BLUE SHIELD
WV
05
1808426000
WV
Enumeration date
04/11/2006
Last updated
09/17/2019
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