Individual
PHILLIP D SURFACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O
Contact information
Practice address
4607 MACCORKLE AVE SW STE 401, SOUTH CHARLESTON, WV 25309
(304) 414-2120
(304) 414-2127
Mailing address
4605 MACCORKLE AVE SW OFC, SOUTH CHARLESTON, WV 25309-1311
(304) 414-4800
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
1585
WV
Other
Enumeration date
07/25/2006
Last updated
01/04/2022
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