Organization
WEST VIRGINIA GYNECOLOGIC ONCOLOGY ASSOC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL A SCHIANO MD (OWNER)
(304) 925-4200
Entity
Organization
Contact information
Practice address
1 COURTNEY DR, CHARLESTON, WV 25304-2696
(304) 925-4200
(304) 925-0484
Mailing address
1 COURTNEY DR, CHARLESTON, WV 25304-2696
(304) 925-4200
Taxonomy
Speciality
Code
Description
License number
State
207VX0201X
Gynecologic Oncology Physician
Primary
18239
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0078182000
—
WV
01
—
18239
STATE LICENSE
WV
Enumeration date
04/10/2007
Last updated
05/14/2013
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