Individual
JUAN SEBASTIAN PROANO COELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1600 MEDICAL CENTER DR STE 3500, HUNTINGTON, WV 25701-3655
(304) 691-1300
(304) 691-1375
Mailing address
1448 10TH AVE STE 304, HUNTINGTON, WV 25701-3579
(304) 691-8722
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
31361
WV
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/23/2016
Last updated
07/25/2022
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