Organization
DOYLE R. SICKLES, MD INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOYLE RUSSELL SICKLES M.D. (PHYSICIAN)
(304) 624-6000
Entity
Organization
Contact information
Practice address
300 DAVISSON RUN ROAD, SUITE 101, CLARKSBURG, WV 26301
(304) 624-6000
(304) 624-6039
Mailing address
300 DAVISSON RUN ROAD, SUITE 101, CLARKSBURG, WV 26301
(304) 624-6000
(304) 624-6039
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
12344
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
99385000
—
WV
Enumeration date
07/17/2006
Last updated
08/22/2020
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