Organization
DOUGLAS D. WOLFE, D.O., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS D WOLFE D.O. (OWNER)
(304) 986-2996
Entity
Organization
Contact information
Practice address
800 E MAIN ST, SUITE B, MANNINGTON, WV 26582-1215
(304) 986-2996
(304) 986-2998
Mailing address
800 E MAIN ST, SUITE B, MANNINGTON, WV 26582-1215
(304) 986-2996
(304) 986-2998
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0051821001
—
WV
Enumeration date
09/20/2006
Last updated
08/05/2010
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