Organization
ASHTON MEDICAL ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD ALLEN CAPITO M.D. (PRESIDENT)
(304) 345-3627
Entity
Organization
Contact information
Practice address
1097 FLEDDERJOHN RD, CHARLESTON, WV 25314-4208
(304) 345-3627
(304) 346-4440
Mailing address
1097 FLEDDERJOHN RD, CHARLESTON, WV 25314-4208
(304) 345-3627
(304) 346-4440
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9929571
PTAN
WV
Enumeration date
01/25/2007
Last updated
09/13/2012
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