Individual
WALTER L DAUGHENBAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2194 BOOTH RD, KENOVA, WV 25530-9544
(304) 453-6351
Mailing address
2194 BOOTH RD, KENOVA, WV 25530-9544
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
03/22/2016
Last updated
03/22/2016
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