Individual
DR. MICHAEL LESLIE GOLDEN III
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
912 SOMERSET BLVD STE 101, CHARLES TOWN, WV 25414
(304) 725-2663
Mailing address
912 SOMERSET BLVD STE 202, CHARLES TOWN, WV 25414-3953
(304) 725-2663
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
210048
NC
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
11725386-1205
UT
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
30403
WV
Other
Enumeration date
04/22/2015
Last updated
08/23/2021
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