Individual
JUSTIN ANDREW TEUBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
527 MEDICAL PARK DR STE 500, BRIDGEPORT, WV 26330
(681) 342-3600
(681) 342-3625
Mailing address
527 MEDICAL PARK DR STE 500, BRIDGEPORT, WV 26330-9010
(681) 342-3600
(681) 342-3625
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
3248
WV
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/12/2015
Last updated
04/06/2022
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