Individual
PAUL DUANE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2373 W MAIN ST STE 102, SALEM, WV 26426-7515
(304) 782-2000
(304) 782-3102
Mailing address
PO BOX 763, MORGANTOWN, WV 26507-0763
(800) 541-4009
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
15251
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0041239000
—
WV
Enumeration date
09/21/2006
Last updated
04/21/2022
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