Individual
DOUGLAS SCOTT TICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
309 MEDICAL CT, MARTINSBURG, WV 25401-2843
(304) 263-0953
(304) 263-5826
Mailing address
309 MEDICAL CT, MARTINSBURG, WV 25401-2843
(304) 263-0953
(304) 263-5826
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
16852
WV
207X00000X
Orthopaedic Surgery Physician
200400986
NC
207X00000X
Orthopaedic Surgery Physician
D53001
MD
207X00000X
Orthopaedic Surgery Physician
MD066898L
PA
207XX0801X
Orthopaedic Trauma Physician
Primary
16852
WV
207XX0801X
Orthopaedic Trauma Physician
200400986
NC
207XX0801X
Orthopaedic Trauma Physician
D53001
MD
Other
Enumeration date
08/18/2006
Last updated
09/15/2021
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