Organization
FRED T. PULIDO, JR., M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GENIA M. FACEMYRE (OFFICE MANAGER)
(304) 345-5466
Entity
Organization
Contact information
Practice address
1213 VIRGINIA ST E, THIRD FLOOR, CHARLESTON, WV 25301-2908
(304) 345-5466
Mailing address
1213 VIRGINIA ST E, THIRD FLOOR, CHARLESTON, WV 25301-2908
(304) 345-5466
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
—
—
Other
Enumeration date
01/18/2007
Last updated
08/22/2020
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