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Organization

PARKERSBURG INFECTIOUS DISEASE PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SEYOUM D BAGE MD (PHYSICIAN)
(304) 916-1288
Entity
Organization

Contact information

Practice address
800 GRAND CENTRAL MALL STE 10, VIENNA, WV 26105-4100
(304) 916-1288
(304) 916-1289
Mailing address
800 GRAND CENTRAL MALL STE 10, VIENNA, WV 26105-4100
(304) 916-1288
(304) 916-1289

Taxonomy

Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary

Other

Enumeration date
03/12/2019
Last updated
03/12/2019
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