Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0000X | Internist - Cardiovascular Disease | 11770 | WV |
NPI | 1013006626 |
---|---|
Provider Name | David L Namay |
First Address | Charleston, WV 25304-1215 |
Second Address | Charleston, WV 25304-1215 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/10/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0087230001 | (05) | WV |
A72074 | (02) |