Individual
DR. HERMINIO LAFRADES GAMPONIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
413 GREEN ACRES CIR, SPENCER, WV 25276-1011
(304) 927-1554
Mailing address
413 GREEN ACRES CIR, SPENCER, WV 25276-1011
(304) 927-1554
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
09186
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0127435000
—
WV
Enumeration date
02/12/2008
Last updated
02/12/2008
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