Individual
DR. EDUARDO MIGUEL VIDAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1400 HAL GREER BLVD FL 2, HUNTINGTON, WV 25701-4114
(304) 691-1930
Mailing address
1400 HAL GREER BLVD FL 2, HUNTINGTON, WV 25701-4114
(304) 691-1930
Taxonomy
Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
30229
WV
207ND0101X
MOHS-Micrographic Surgery Physician
ME83671
FL
Other
Enumeration date
12/16/2005
Last updated
11/23/2021
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