Individual
DR. BASIM WADIH ANTOUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
608 NEW HOPE RD STE 7, PRINCETON, WV 24740-2287
(304) 487-1076
(304) 425-9499
Mailing address
PO BOX 1559, PRINCETON, WV 24740-1559
(304) 487-1076
(304) 425-9499
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
17447
WV
Other
Enumeration date
11/04/2005
Last updated
02/10/2015
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