Individual
AOUOD AGENOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1600 MEDICAL CENTER DR STE G500, HUNTINGTON, WV 25701-3659
(304) 691-1262
(304) 691-1666
Mailing address
1448 10TH AVE STE 304, HUNTINGTON, WV 25701-3579
(304) 691-1262
(304) 691-1666
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
32295
WV
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
32295
WV
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
32295
WV
Other
Enumeration date
04/01/2021
Last updated
01/05/2024
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