Individual
DR. TOMAS E VIGO PAREDES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
40 SHAE AVE, CHAPMANVILLE, WV 25508-9805
(304) 855-2211
(304) 855-2213
Mailing address
132 GILCHRIST AVE, TORNADO, WV 25202-9640
(304) 687-0054
(304) 855-2245
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
17682
WV
208D00000X
General Practice Physician
Primary
17682
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17682
WV MEDICAL LICENSE
WV
Enumeration date
06/08/2005
Last updated
04/10/2019
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