Individual
MR. HERBERT PAUL MINCH JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, ATC, EMT-P
Contact information
Practice address
101 FACULTY DRIVE, CSC 103, WEST LIBERTY, WV 26074
(304) 336-8476
(304) 336-5139
Mailing address
101 FACULTY DRIVE, CSC 103, WEST LIBERTY, WV 26074
(304) 336-8476
(304) 336-5139
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT001134
WV
Other
Enumeration date
12/15/2011
Last updated
12/15/2011
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