Individual
MILTON J. PLATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3200 MACCORKLE AVENUE SE, PATHOLOGY DEPARTMENT, CHARLESTON, WV 25304
(304) 388-5550
(304) 388-4352
Mailing address
3200 MACCORKLE AVENUE, CHARLESTON, WV 25304
(304) 388-5550
(304) 388-4352
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
13802
WV
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
13802
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0102128000
—
WV
Enumeration date
01/30/2007
Last updated
12/18/2015
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