Individual
WILLIAM A CLINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
800 GRAND CENTRAL MALL, SUITE 2, VIENNA, WV 26105-4100
(304) 865-4350
(304) 420-5995
Mailing address
800 GRAND CENTRAL MALL, SUITE 2, VIENNA, WV 26105-4100
(304) 865-4350
(304) 420-5995
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
2812
WV
208600000X
Surgery Physician
34.006999
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2307122
—
OH
05
—
3810000229
—
WV
Enumeration date
06/06/2006
Last updated
07/24/2014
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