Individual
DR. JOHN G TELLERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
40 MEDICAL PARK, SUITE 500, WHEELING, WV 26003-6392
(304) 242-9260
(304) 242-9484
Mailing address
40 MEDICAL PARK, SUITE 500, WHEELING, WV 26003-6392
(304) 242-9260
(304) 242-9484
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
10496
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0091065000
—
WV
05
—
0508838
—
OH
Enumeration date
06/07/2006
Last updated
08/02/2010
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