Doctor Name: | MICHAEL MCINTOSH |
NPI Number: | 1073576724 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 12366 |
Business Practice Address: | 122 Pinnell St Ripley, WV - 252719101 |
Business Phone Number: | 3043722731 |
Business Fax Number: | 3073722749 |
Mailing Address: | 122 Pinnell St, RIPLEY |
State: | WV |
Postal Code: | 252719101 |
Phone Number: | 3043722731 |
Fax Number: | 3073722749 |
NPI Enumeration Date: | 04/11/2006 |
NPI Last Update Date: | 03/14/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 12366 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WV |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |