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Individual

DR. DOYLE RUSSELL SICKLES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
29 HOSPITAL PLZ, SUITE C, WESTON, WV 26452-8470
(304) 269-4431
(304) 269-9803
Mailing address
29 HOSPITAL PLZ, SUITE C, WESTON, WV 26452-8470
(304) 269-4431
(304) 269-9803

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
WV12344
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0099385000
WV
Enumeration date
09/19/2007
Last updated
01/22/2013
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