Organization
ROGER K PONS MD INC
Active
Organization
ROGER K PONS MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROGER KARL PONS MD (PRESIDENT)
(304) 624-6122
Entity
Organization
Contact information
Practice address
200 ROUTE 98 W ST, SUITE 105, NUTTER FORT, WV 26301-4385
(304) 624-6122
Mailing address
200 ROUTE 98 W ST, SUITE 105, NUTTER FORT, WV 26301-4385
(304) 624-6122
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
14659
WV
208C00000X
Colon & Rectal Surgery Physician
Primary
14659
WV
Other
Enumeration date
07/02/2007
Last updated
09/11/2025
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