Individual
JOHN DYBUNPIN ONGLATCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
324 NORTH ST, SUITE 2, BLUEFIELD, WV 24701-4038
(304) 327-3408
(304) 324-7967
Mailing address
324 NORTH ST, SUITE 2, BLUEFIELD, WV 24701-4038
(304) 327-3408
(304) 324-7967
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
0101242167
VA
207L00000X
Anesthesiology Physician
Primary
20634
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000597000
—
WV
Enumeration date
08/19/2006
Last updated
08/16/2007
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