N B Tuanquin, M.d., Inc | |
112 Bridge St Logan WV 25601-3602 | |
(304) 752-1905 | |
(304) 752-5461 |
Full Name | N B Tuanquin, M.d., Inc |
---|---|
Speciality | Internal Medicine |
Location | 112 Bridge St, Logan, West Virginia |
Authorized Official Name and Position | Narciso B Tuanquin (PHYSCIAN) |
Authorized Official Contact | 3047521905 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
N B Tuanquin, M.d., Inc 112 Bridge St Logan WV 25601-3602 Ph: (304) 752-1905 | N B Tuanquin, M.d., Inc 112 Bridge St Logan WV 25601-3602 Ph: (304) 752-1905 |
NPI Number | 1386788917 |
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Provider Enumeration Date | 02/16/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1386788917 | NPI | - | NPPES |
0083564000 | Medicaid | WV |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 12760 (West Virginia) | Primary |
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