Organization
JOHN E. CAPITO, MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN E CAPITO MD (OWNER)
(304) 723-2240
Entity
Organization
Contact information
Practice address
2619 PENNSYLVANIA AVE, WEIRTON, WV 26062-3752
(304) 723-2240
Mailing address
PO BOX 2002, WEIRTON, WV 26062-1202
(304) 723-2240
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
13351
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810004823
—
WV
Enumeration date
07/12/2006
Last updated
08/22/2020
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