Individual
DR. SALAH PHILIP RAZZOOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
97 S BOLTON ST, ROMNEY, WV 26757-1701
(304) 822-4035
(304) 822-7363
Mailing address
97 S BOLTON ST, ROMNEY, WV 26757-1701
(304) 822-4035
(304) 822-7363
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
13418
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0128427000
—
WV
01
—
060001647
RR MEDICARE
—
01
—
235-913
ONE NET
—
01
—
335-913
ONE NET-MAMSI
—
Enumeration date
10/05/2006
Last updated
05/03/2008
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