DR. Manuel C Vallejo JR., MD,DMD

NPI #1932175528 in Morgantown, West Virginia

Provider Information

NPI Number: 1932175528
Entity Type: Individual
Name: DR. Manuel C Vallejo JR., MD,DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Credential: MD,DMD
Enumeration Date: Feb 24, 2006
Last Updated: Jul 21, 2022

Practice Location

Address: 1322 PINEVIEW DR
City: Morgantown
State: West Virginia
ZIP Code: 26505-0710
Phone: (304) 598-3100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary
Anesthesiology	207L00000X

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