Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0131X | Foot Surgery | 248 | WV |
N | 213ES0131X | Foot Surgery | SC-003441-L | PA |
NPI | 1316047020 |
---|---|
Provider Name | Dr. David Ferrero SR. |
First Address | Fairmont, WV 26554-5141 |
Second Address | Fairmont, WV 26554-5141 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/09/2006 |
Last Update Date | 24/06/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0099603000 | (05) | WV |
T91034 | (02) | WV |