Individual
DR. DAVID ALLEN BLAINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
84 BROOKSHIRE LN, BECKLEY, WV 25801-6765
(304) 255-2341
Mailing address
84 BROOKSHIRE LN, BECKLEY, WV 25801-6765
(304) 255-2341
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
21797
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810001686
—
WV
Enumeration date
03/31/2006
Last updated
04/07/2022
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