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Individual

DAVID C SHAMBLIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2233 S KANAWHA ST, BECKLEY, WV 25801-6719
(304) 255-9249
(304) 255-9237
Mailing address
2233 S KANAWHA ST, BECKLEY, WV 25801-6719
(304) 255-9249
(304) 255-9237

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
14016
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0099359000
WV
01
1335856
UMWA
WV
Enumeration date
01/17/2007
Last updated
05/06/2008
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