Individual
MANOLO D TAMPOYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
75 W 4TH AVE, WILLIAMSON, WV 25661-3509
(304) 235-2187
(304) 235-2187
Mailing address
75 W 4TH AVE, WILLIAMSON, WV 25661-3509
(304) 235-2187
(304) 235-2187
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
13846
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0049610000
—
WV
Enumeration date
05/30/2006
Last updated
06/16/2011
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