Individual
PAUL JAKUBEC
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
404 INGLEWOOD BLVD, MORGANTOWN, WV 26505-7316
(304) 599-2004
(304) 599-7611
Mailing address
1267 WOODRUFF PL, MORGANTOWN, WV 26505-2720
(304) 599-4466
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
08988
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0109460000
—
WV
Enumeration date
06/23/2005
Last updated
07/09/2007
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