Organization
DAVID A CIAROLLA, MD, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID ANTHONY CIAROLLA MD (PRESIDENT)
(304) 363-7990
Entity
Organization
Contact information
Practice address
1228 COUNTRY CLUB RD, SUITE 300, FAIRMONT, WV 26554-2369
(304) 363-7990
(304) 363-7997
Mailing address
1228 COUNTRY CLUB RD, SUITE 300, FAIRMONT, WV 26554-2369
(304) 363-7990
(304) 363-7997
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
WV17859
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0088242001
—
WV
Enumeration date
01/24/2007
Last updated
11/01/2007
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