Individual
MR. TODD EDWARD TALLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
600 SUNCREST TOWNE CENTRE, SUITE 310, MORGANTOWN, WV 26505
(304) 598-2200
(304) 599-2674
Mailing address
600 SUNCREST TOWN CENTRE DR STE 310, MORGANTOWN, WV 26505-1873
(304) 598-2200
(304) 599-2674
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
18947
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0126874000
—
WV
Enumeration date
12/29/2005
Last updated
05/24/2018
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