Organization
R.C. JEREZA M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAMON C. JEREZA MD (PRESIDENT)
(304) 252-8541
Entity
Organization
Contact information
Practice address
200 RALEIGH AVE, BECKLEY, WV 25801-5944
(304) 252-8541
(304) 253-2507
Mailing address
200 RALEIGH AVE, BECKLEY, WV 25801-5944
(304) 252-8541
(304) 253-2507
Taxonomy
Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
Primary
09488
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0076323000
—
WV
Enumeration date
02/16/2007
Last updated
08/22/2020
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