Individual
MRS. MIRIAM KATHERINE PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
608 CHEAT RD, MORGANTOWN, WV 26508-4210
(304) 594-1313
(304) 594-2408
Mailing address
1000 TECHNOLOGY DR, STE 2320, FAIRMONT, WV 26554-8824
(304) 368-2781
(304) 368-2759
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
22331
WV
Other
Enumeration date
07/08/2006
Last updated
07/08/2007
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