Organization
NEW MARTINSVILLE FOOT AND ANKLE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHILLIP KENNETH SLAMPAK (PODIATRIST)
(304) 455-1562
Entity
Organization
Contact information
Practice address
317 WHITTEN LN, NEW MARTINSVILLE, WV 26155-2145
(304) 455-1562
(304) 455-4955
Mailing address
317 WHITTEN LN, NEW MARTINSVILLE, WV 26155-2145
(304) 455-1562
(304) 455-4955
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
339
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0100087000
—
WV
Enumeration date
12/18/2007
Last updated
01/17/2008
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