Individual
CHARLES W. REYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M D
Contact information
Practice address
1212 GARFIELD AVE, STE 202, PARKERSBURG, WV 26101-3247
(304) 865-3640
(304) 865-3700
Mailing address
1212 GARFIELD AVE, SUITE 300, PARKERSBURG, WV 26101-3247
(304) 865-3600
(304) 865-3700
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
11189
WV
207R00000X
Internal Medicine Physician
35-05-4845R
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0556045
—
OH
05
—
084123000
—
WV
01
—
200408843
FEIN
WV
01
—
550637845
TAX ID
OH
Enumeration date
11/09/2006
Last updated
03/23/2015
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