Individual
DR. SCOTT MANDERS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Contact information
Practice address
600 18TH ST, SUITE 512, PARKERSBURG, WV 26101-3231
(304) 424-4574
(304) 424-4429
Mailing address
600 18TH ST, SUITE 512, PARKERSBURG, WV 26101-3231
(304) 424-4574
(304) 424-4429
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
21542
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810000320
—
WV
Enumeration date
03/07/2006
Last updated
07/08/2007
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