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Organization

SUSAN CAPELLE MD, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JENNY GASHIE (OFFICE MANAGER)
(304) 581-6802
Entity
Organization

Contact information

Practice address
3496 UNIVERSITY AVE, MORGANTOWN, WV 26505-3001
(304) 599-7075
(304) 581-6800
Mailing address
3496 UNIVERSITY AVE, MORGANTOWN, WV 26505-3001
(304) 599-7075
(304) 581-6800

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
20147
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6200220000
WV
Enumeration date
05/24/2013
Last updated
05/24/2013
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