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Scott Alan Naegele
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NPI Number Detailed Information
Provider Information:
Name: | Scott Alan Naegele |
Gender: | M |
Provider License Number If Given: | 17050 |
NPI Information:
NPI: | 1447253497 |
Entity Type (Individual or Organization): |
1-ind |
Enumeration Date: | 5/23/2005 |
Last Update Date: | 1/30/2018 |
Provider Business Mailing Address:
Address: | 830 PENNSYLVANIA AVE STE 402 Charleston, WV 25302 |
Phone Number: | 3043448368 |
Fax Number: | 3043428938 |
Provider Business Practice Location Address:
Address: | 830 PENNSYLVANIA AVE SUITE 108 Charleston, WV 25302 |
Phone Number: | 3043448368 |
Fax Number: | 3043428938 |
Provider Taxonomy:
Primary: | 207V00000X |
Secondary (if any): | |
State: | WV |