person
Victoria Leigh Takubo, PA-C
Surgical Physician Assistant in South Charleston, West Virginia
NPI 1194032227

Victoria Leigh Takubo is a Surgical Physician Assistant based in South Charleston, WV and is specialized in Surgical. Victoria Leigh Takubo practices in South Charleston, WV and has the professional credentials of PA-C. The NPI Number for Victoria Leigh Takubo is 1194032227 and holds a License No. 01484 (West Virginia).

The current practice location address for Victoria Leigh Takubo is 4610 Kanawha Ave Sw Ste 401, South Charleston, WV and can be reached out via phone at 304-768-7368 and via fax at 304-768-1829. You can also correspond with Victoria Leigh Takubo through the mailing address at 4605 MACCORKLE AVE SW, SOUTH CHARLESTON, WV - 25309-1311 (mailing address contact number: 304-414-4800).

Location: 4610 Kanawha Ave Sw Ste 401, South Charleston, WV, 25309-1311
person
Provider Profile Details
NPI Number
1194032227
Provider Name
Victoria Leigh Takubo
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
4610 Kanawha Ave Sw Ste 401, South Charleston, WV, 25309-1311
Phone Number
304-768-7368
Fax Number
304-768-1829
Provider Enumeration Date
09/10/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4610 Kanawha Ave Sw Ste 401
City
State
Zip
25309-1367
Phone Number
304-768-7368
Fax Number
304-768-1829
person
Provider Business Mailing Address Details
Address
4605 Maccorkle Ave Sw
City
State
Zip
25309-1311
Phone Number
304-414-4800
Fax Number
304-414-4801
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
1484 (West Virginia)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
01484 (West Virginia)
Definition
Definition to come...
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