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Individual

DR. DANIEL BRUCE JOVANOVICH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
651 COLLIERS WAY STE 511, WEIRTON, WV 26062-5054
(304) 723-6801
(740) 354-2138
Mailing address
651 COLLIERS WAY STE 300, WEIRTON, WV 26062-5058
(304) 797-6404

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
3242
WV
207RC0000X
Cardiovascular Disease Physician
Primary
35.092226
OH
207RC0000X
Cardiovascular Disease Physician
MD029838E
PA
207RI0011X
Interventional Cardiology Physician
3242
WV
207RI0011X
Interventional Cardiology Physician
MD029838E
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2886597
OH
Enumeration date
04/22/2006
Last updated
02/14/2022
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