Individual
DR. GERALD A DAGUE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 MEDICAL PARK, WHEELING, WV 26003-6379
(304) 214-3124
(304) 243-6343
Mailing address
RR 1, TRIADELPHIA, WV 26059-9801
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
20720
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1811524000
—
WV
Enumeration date
05/17/2006
Last updated
07/08/2007
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