Individual
DAVID P. ALTHAUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2619 STATE ROUTE 850, BIDWELL, OH 45614-9288
(740) 446-5148
(740) 446-5150
Mailing address
90 JACKSON PIKE, GALLIPOLIS, OH 45631-1560
(740) 446-5804
(740) 446-5150
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
35-06-3575
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000007209
ANTHEM BCBS
—
01
—
000000190710
UNISON MEDICAID
OH
01
—
001714078
MOUNTAIN STATE BCBS
—
05
—
0102680000
—
WV
01
—
0885001
MOLINA MEDICAID
OH
01
—
220010795
RR MEDICARE
WV
01
—
220010796
RR MEDICARE
OH
Enumeration date
05/19/2006
Last updated
08/07/2014
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