Doctor Name: | DONNA FLAIM |
NPI Number: | 1396177333 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PAC |
License Number: | |
Business Practice Address: | 19771 Coal Heritage Road Suite102 Welch, WV - 24801 |
Business Phone Number: | 3044366650 |
Business Fax Number: | |
Mailing Address: | Po Box 1650, PINEVILLE |
State: | WV |
Postal Code: | 248741650 |
Phone Number: | 3047326735 |
Fax Number: | |
NPI Enumeration Date: | 08/01/2013 |
NPI Last Update Date: | 08/01/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |