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Individual

CLINTON E CURTIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
221 W MAPLE AVE, FAYETTEVILLE, WV 25840-1413
(304) 574-3960
(304) 574-2179
Mailing address
PO BOX 337, SCARBRO, WV 25917-0337
(304) 574-3960
(304) 574-2179

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
19824
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1801082000
WV
Enumeration date
08/19/2005
Last updated
08/30/2011
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