Individual
MR. NSISONG ANTHONY IKPA SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., M.S.
Contact information
Practice address
1 STADIUM DR # 9238, MORGANTOWN, WV 26506-7900
(304) 293-1254
(304) 293-4711
Mailing address
PO BOX 780, MORGANTOWN, WV 26507-0780
(304) 293-7401
(304) 293-6983
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/09/2013
Last updated
04/09/2013
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