Organization
CHARLES P CAPITO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES PETER CAPITO MD (OWNER)
(304) 723-3355
Entity
Organization
Contact information
Practice address
703 COLLIERS WAY, WEIRTON, WV 26062-5016
(304) 723-3355
(304) 723-5638
Mailing address
703 COLLIERS WAY, WEIRTON, WV 26062-5016
(304) 723-3355
(304) 723-5638
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
12032
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0099372000
—
WV
05
—
0598929
—
OH
05
—
1812251000
—
WV
05
—
2340792
—
OH
Enumeration date
09/21/2006
Last updated
08/01/2011
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