Individual
JOHANNA FISHER BIOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
812 GORMAN AVE, ELKINS, WV 26241-3181
(304) 637-0433
(304) 637-0435
Mailing address
812 GORMAN AVE, ELKINS, WV 26241-3181
(304) 637-0433
(304) 637-0435
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
22936
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810012249
—
WV
01
—
CA7030
RAILROAD MEDICARE GROUP #
WV
01
—
P00621882
RAILROAD MEDICARE
WV
Enumeration date
06/27/2007
Last updated
11/03/2015
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