Individual
DR. ANDRES LAURENTE RAGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
135 MAIN STREET, KEYSTONE, WV 24868
(304) 862-4611
Mailing address
HC 52 BOX 135, KEYSTONE, WV 24868-7501
(304) 862-4611
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
11441
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0042438000
—
WV
Enumeration date
06/11/2006
Last updated
02/22/2008
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