institution
Ernesto T.yutiamco,m.d.,p.c.
General Practice Physician in Madison, West Virginia
NPI 1366451700

Ernesto T.yutiamco,m.d.,p.c. is a General Practice Physician based in Madison, WV. Ernesto T.yutiamco,m.d.,p.c. practices in Madison, WV. The NPI Number for Ernesto T.yutiamco,m.d.,p.c. is 1366451700 and holds a License No. 13306 (West Virginia).

The current practice location address for Ernesto T.yutiamco,m.d.,p.c. is 483 Main St, Madison, WV and can be reached out via phone at 304-369-0221 and via fax at 304-369-0222. You can also correspond with Ernesto T.yutiamco,m.d.,p.c. through the mailing address at PO BOX 428, MADISON, WV - 25130-0428 (mailing address contact number: 304-369-0221).

Location: 483 Main St, Madison, WV, 25130-0428
institution
Provider Profile Details
NPI Number
1366451700
Provider Name
Ernesto T.yutiamco,m.d.,p.c.
Credential
Provider Entity Type
Organization
Address
483 Main St, Madison, WV, 25130-0428
Phone Number
304-369-0221
Fax Number
304-369-0222
Provider Enumeration Date
08/05/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0049816000 05 WV
institution
Provider Business Practice Location Address Details
Address
483 Main St
City
State
Zip
25130-1223
Phone Number
304-369-0221
Fax Number
304-369-0222
person
Provider Business Mailing Address Details
Address
483 Main St
City
State
Zip
25130-1223
Phone Number
304-369-0221
Fax Number
304-369-0222
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
13306 (West Virginia)
Definition
Definition to come...
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