Individual
DR. CHRISTOPHER CORY NICELY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 MEDICAL PARK, WHEELING, WV 26003-6379
(304) 243-3270
Mailing address
PO BOX 5307, LIMA, OH 45802-5307
(866) 497-8222
(419) 223-2726
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
24714
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0075347
—
OH
05
—
1037733420001
—
PA
05
—
1548438435
—
WV
Enumeration date
02/14/2008
Last updated
04/05/2021
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