Individual
DR. TODD ASHLEY MAGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1325 LOCUST AVE, FAIRMONT, WV 26554-1435
(304) 367-7100
Mailing address
209 BLUE RIDGE LN, MORGANTOWN, WV 26508
(305) 978-4751
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
064858
GA
2084P0800X
Psychiatry Physician
Primary
24759
WV
2084P0800X
Psychiatry Physician
53216020
WI
Other
Enumeration date
07/02/2008
Last updated
08/15/2013
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