person
David W. Perdue JR., PA-C
Medical Physician Assistant in Princeton, West Virginia
NPI 1174547442

David W. Perdue JR. is a Medical Physician Assistant based in Princeton, WV and is specialized in Medical. David W. Perdue JR. practices in Princeton, WV and has the professional credentials of PA-C. The NPI Number for David W. Perdue JR. is 1174547442 and holds a License No. 295 (West Virginia).

The current practice location address for David W. Perdue JR. is 122 12Th St, Princeton, WV and can be reached out via phone at 304-487-7726 and via fax at 304-431-5263.

Location: 122 12Th St, Princeton, WV, 24740-2312
person
Provider Profile Details
NPI Number
1174547442
Provider Name
David W. Perdue JR.
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
122 12Th St, Princeton, WV, 24740-2312
Phone Number
304-487-7726
Fax Number
304-431-5263
Provider Enumeration Date
07/27/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
001836147 01 WV BLUE CROSS BLUE SHIELD
010381096 05 VA
1070558 01 BRICKSTREET
3810014308 05 WV
institution
Provider Business Practice Location Address Details
Address
122 12Th St
City
State
Zip
24740-2312
Phone Number
304-487-7726
Fax Number
304-431-5263
person
Provider Business Mailing Address Details
Address
122 12Th St
City
State
Zip
24740-2312
Phone Number
304-487-7726
Fax Number
304-431-5263
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
295 (West Virginia)
Definition
Definition to come...
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