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Individual

DR. THOMAS M JUNG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD PHD

Contact information

Practice address
#3 STONECREST DR, HUNTINGTON, WV 25701
(304) 522-6388
(304) 522-8040
Mailing address
2585 3RD AVE, HUNTINGTON, WV 25703-1642
(304) 697-1396
(304) 697-2086

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
18975
WV
207Y00000X
Otolaryngology Physician
33120
KY
207Y00000X
Otolaryngology Physician
35062604J
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0100895000
WV
05
2016062
OH
05
64941594
KY
Enumeration date
03/14/2006
Last updated
10/11/2016
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