B. R. Devabhakthuni & S. P.mulpuru Ptr
NPI #1255495065 in Fairmont, West Virginia
Provider Information
- NPI Number
- 1255495065
- Entity Type
- Organization
- Organization Name
- B. R. Devabhakthuni & S. P.mulpuru Ptr
- Primary Specialty
- Clinical Medical Laboratory
- Enumeration Date
- Dec 19, 2006
- Last Updated
- Jun 19, 2008
Practice Location
- Address
- 312 10TH ST
- City
- Fairmont
- State
- West Virginia
- ZIP Code
- 26554-3611
- Phone
- (304) 366-2818
Authorized Official
- Name
- DR. THOMAS WESLEY STEELE, MD
- Title
- DIRECTOR
- Phone
- (304) 366-2818
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinical Medical Laboratory |
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