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Individual

DR. WARIS ALI WARIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
20 HOSPITAL DR, LOGAN, WV 25601-3452
(304) 239-8070
(304) 239-8074
Mailing address
601 HOLDEN ROAD, LOGAN, WV 25601
(304) 239-8070
(304) 239-8074

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
002655
NY
207RX0202X
Medical Oncology Physician
Primary
23735
WV

Other

Enumeration date
08/31/2006
Last updated
01/07/2010
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