person
Mr. Domingo Gonzales Javier, MD
General Practice Physician in Bluefield, West Virginia
NPI 1699872135

Domingo Gonzales Javier is a General Practice Physician based in Bluefield, WV. Domingo Gonzales Javier practices in Bluefield, WV and has the professional credentials of MD. The NPI Number for Domingo Gonzales Javier is 1699872135 and holds a License No. 10588 (West Virginia).

The current practice location address for Domingo Gonzales Javier is 1701 Jefferson St, Bluefield, WV and can be reached out via phone at 304-325-5755 and via fax at 304-323-1639. You can also correspond with Domingo Gonzales Javier through the mailing address at 1701 JEFFERSON ST, BLUEFIELD, WV - 24701-1701 (mailing address contact number: 304-325-5755).

Location: 1701 Jefferson St, Bluefield, WV, 24701-1701
person
Provider Profile Details
NPI Number
1699872135
Provider Name
Domingo Gonzales Javier
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1701 Jefferson St, Bluefield, WV, 24701-1701
Phone Number
304-325-5755
Fax Number
304-323-1639
Provider Enumeration Date
09/19/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1022384 01 WV WORKERS COMP
851945 01 MAMSI
062480 01 VA BC ANTHEM
103541 01 BLACK LUNG
7350431 01 VA VA MED ASSIS
0472131 01 UMWA FUNDS
V000267 01 CHAMPUS
0127512000 05 WV
4454937 01 AETNA
institution
Provider Business Practice Location Address Details
Address
1701 Jefferson St
City
State
Zip
24701-1701
Phone Number
304-325-5755
Fax Number
304-323-1639
person
Provider Business Mailing Address Details
Address
1701 Jefferson St
City
State
Zip
24701-1701
Phone Number
304-325-5755
Fax Number
304-323-1639
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
10588 (West Virginia)
Definition
Definition to come...
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