Individual
DR. ALEX PRESBITERO RACADAG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
20 HOSPITAL DR, LOGAN, WV 25601-3452
(304) 831-1555
Mailing address
PO BOX 1269, CHAPMANVILLE, WV 25508-1269
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
19250
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0104260000
—
WV
05
—
64049901
—
KY
Enumeration date
09/06/2005
Last updated
11/12/2007
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