Individual
DR. GARY L. POLING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
25 MALLARD CT, BECKLEY, WV 25801-3664
(304) 929-6020
Mailing address
25 MALLARD CT, BECKLEY, WV 25801-3664
(304) 929-6020
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
WV1221
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0053014000
—
WV
Enumeration date
10/27/2006
Last updated
10/25/2007
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