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Wigberto C Camomot
General Practice Physician in Red Jacket, West Virginia
NPI 1093808172

Wigberto C Camomot is a General Practice Physician based in Red Jacket, WV. Wigberto C Camomot practices in Red Jacket, WV. The NPI Number for Wigberto C Camomot is 1093808172 and holds a License No. 13624 (West Virginia).

The current practice location address for Wigberto C Camomot is 329 Main Street, Red Jacket, WV and can be reached out via phone at 304-426-6428 and via fax at 304-426-8413.

Location: 329 Main Street, Red Jacket, WV, 25692-0329
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1093808172
Provider Name
Wigberto C Camomot
Credential
Provider Entity Type
Individual
Gender
Male
Address
329 Main Street, Red Jacket, WV, 25692-0329
Phone Number
304-426-6428
Fax Number
304-426-8413
Provider Enumeration Date
10/02/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0050600000 05 WV
institution
Provider Business Practice Location Address Details
Address
329 Main Street
City
Red Jacket
State
West Virginia
Zip
25692-0329
Phone Number
304-426-6428
Fax Number
304-426-8413
person
Provider Business Mailing Address Details
Address
329 Main Street
City
Red Jacket
State
West Virginia
Zip
25692-0329
Phone Number
304-426-6428
Fax Number
304-426-8413
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
13624 (West Virginia)
Definition
Definition to come...
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