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ALLEN RUSSELL CHAUVENET

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
830 PENNSYLVANIA AVENUE, WEST VIRGINIA UNIVERSITY, CHARLESTON, WV 25302
(304) 388-1552
(304) 388-2084
Mailing address
830 PENNSYLVANIA AVENUE SUITE 103, WEST VIRGINIA UNIVERSITY, CHARLESTON, WV 25302
(304) 388-1552
(304) 388-2084

Taxonomy

Speciality
Code
Description
License number
State
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
22776
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2053799A
WV
Enumeration date
12/02/2005
Last updated
01/14/2008
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