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Individual

RUSTY LEE CAIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
1228 COUNTRY CLUB RD, FAIRMONT, WV 26554-2369
(304) 363-3338
(304) 363-3359
Mailing address
1228 COUNTRY CLUB RD, FAIRMONT, WV 26554-2369
(304) 363-3338
(304) 363-3359

Taxonomy

Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
00349
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6420007001
WV
Enumeration date
08/11/2006
Last updated
04/12/2022
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