Organization
SALVADOR C. PORTUGAL MD, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SALVADOR C PORTUGAL M.D (PRESIDENT)
(304) 766-3482
Entity
Organization
Contact information
Practice address
400 DIVISION ST, SUITE 9, SOUTH CHARLESTON, WV 25309-1459
(304) 766-3482
Mailing address
PO BOX 9288, SOUTH CHARLESTON, WV 25309-0288
(304) 766-3482
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
13580
WV
Other
Enumeration date
03/24/2007
Last updated
08/22/2020
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