Doctor Name: | SARA MARIE CALES |
NPI Number: | 1265715015 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | P.A.-C |
License Number: | 01581 |
Business Practice Address: | 1500 Terrace St Hinton, WV - 25951 |
Business Phone Number: | 3044662918 |
Business Fax Number: | 3044662929 |
Mailing Address: | Po Box 940, HINTON |
State: | WV |
Postal Code: | 259510940 |
Phone Number: | 3044662918 |
Fax Number: | |
NPI Enumeration Date: | 09/27/2011 |
NPI Last Update Date: | 06/12/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | 01581 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WV |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |