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Individual

SUSAN CLAIRE TOUMA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
422 KINETIC PARK DR, SUITE B, HUNTINGTON, WV 25701-3803
(304) 523-5100
(304) 523-1750
Mailing address
422 KINETIC PARK DR, SUITE B, HUNTINGTON, WV 25701-3803
(304) 523-5100
(304) 523-1750

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
20440
WV
207N00000X
Dermatology Physician
Primary
20440
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1808741000
WV
Enumeration date
03/15/2006
Last updated
01/21/2014
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