Individual
DR. MARCOS MORALES JAVIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1540 SPRING VALLEY DR, HUNTINGTON, WV 25704-9300
(304) 429-6741
Mailing address
6930 LICK RUN LYRA RD, PO BOX 471, WHEELERSBURG, OH 45694-8711
(740) 574-1534
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
22560
WV
207L00000X
Anesthesiology Physician
35080819
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000254484
BCBS
OH
01
—
050091137
RAILROAD MEDICARE
OH
05
—
2375317
—
OH
05
—
6405943900
—
KY
Enumeration date
05/26/2006
Last updated
06/27/2012
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