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Individual

MICHAEL ALLEN FIERY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1508 6TH AVE, HUNTINGTON, WV 25701-2902
(304) 522-8311
(304) 522-8313
Mailing address
PO BOX 366, HUNTINGTON, WV 25708-0366
(304) 522-8311
(304) 522-8313

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
11555
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0096785000
WV
05
0512056
OH
Enumeration date
03/08/2006
Last updated
01/29/2010
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