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Organization

EAR, NOSE & THROAT PHYSICIANS AND SURGEONS OF CHARLESTON, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ROBERT E POLLARD MD (MEMBER)
(304) 357-9049
Entity
Organization

Contact information

Practice address
4408 MACCORKLE AVE SE, CHARLESTON, WV 25304-2506
(304) 357-9049
(304) 357-4412
Mailing address
4408 MACCORKLE AVE SE, CHARLESTON, WV 25304-2506
(304) 357-9049
(304) 357-4412

Taxonomy

Speciality
Code
Description
License number
State
207YX0602X
Otolaryngic Allergy Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
C462
MEDICARE PTAN
Enumeration date
12/17/2012
Last updated
12/14/2015
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