Organization
DBA ROBERT DEMOTTO JR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT DEMOTTO JR. MD (OWNER)
(304) 446-3673
Entity
Organization
Contact information
Practice address
112 WOODY SIMMONS DRIVE, MILL CREEK, WV 26280-2628
(304) 446-3673
Mailing address
PO BOX 631, ELKINS, WV 26241
(304) 446-3673
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary
—
—
Other
Enumeration date
11/08/2024
Last updated
11/08/2024
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