Individual
DR. JULIAN LLADO ESPIRITU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
24 MACCORKLE AVE SW, SUITE 201, SOUTH CHARLESTON, WV 25303-1476
(304) 720-5000
(304) 720-5003
Mailing address
24 MACCORKLE AVE SW, SUITE 201, SOUTH CHARLESTON, WV 25303-1476
(304) 720-5000
(304) 720-5003
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
14901
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0071269000
—
WV
01
—
14901
STATE LICENSE
WV
Enumeration date
09/14/2005
Last updated
03/07/2023
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