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Individual

ELIAS H ISAAC

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D

Contact information

Practice address
1828 HARPER RD, BECKLEY, WV 25801-3366
(304) 253-5690
(304) 255-4608
Mailing address
1828 HARPER RD, BECKLEY, WV 25801-3366
(304) 253-5690
(304) 255-4608

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
10539
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0127504-000
WV
Enumeration date
04/07/2006
Last updated
07/21/2022
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