Individual
CHARLES PETER CAPITO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
703 COLLIERS WAY, WEIRTON, WV 26062-5016
(304) 723-3355
(304) 723-5638
Mailing address
703 COLLIERS WAY, WEIRTON, WV 26062-5016
(304) 723-3355
(304) 723-5638
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
12032
WV
207X00000X
Orthopaedic Surgery Physician
56741
OH
207X00000X
Orthopaedic Surgery Physician
MD037652E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0099372000
—
WV
05
—
0598929
—
OH
01
—
200006969
RR MEDICARE
WV
01
—
200020738
RR MEDICARE
OH
Enumeration date
11/03/2005
Last updated
09/29/2008
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