Individual
DR. JOSE Y AUDITOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
20 HOSPITAL DR, LOGAN, WV 25601-3452
(304) 831-1101
Mailing address
1431 CENTERPOINT BLVD, SUITE 100, KNOXVILLE, TN 37932-1984
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
11899
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0050303001
—
WV
05
—
64065691
—
KY
Enumeration date
05/31/2006
Last updated
12/15/2022
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