Organization
STEPHAN J SERFONTEIN MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHANUS J SERFONTEIN M.D. (SOLE PROPRIETOR)
(304) 675-6835
Entity
Organization
Contact information
Practice address
2418 JEFFERSON AVE, POINT PLEASANT, WV 25550-1528
(304) 675-6835
(304) 675-6849
Mailing address
PO BOX 534, POINT PLEASANT, WV 25550-0534
(304) 675-6835
(304) 675-6849
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
21778
WV
Other
Enumeration date
11/18/2009
Last updated
03/16/2011
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