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Individual

DR. JOHN MICHAEL TABIT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
120 PROFESSIONAL PARK, BECKLEY, WV 25801-3623
(304) 410-0061
(304) 410-0574
Mailing address
120 PROFESSIONAL PARK, BECKLEY, WV 25801-3623
(304) 410-0061
(304) 410-0574

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
34.009284
OH
207XX0801X
Orthopaedic Trauma Physician
Primary
2621
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
34.009284
OHIO MEDICAL LICENSE
OH
01
5101017805
MICHIGAN LICENSE
MI
Enumeration date
07/22/2008
Last updated
03/07/2023
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