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NPI Code Detail

MEDICARE: DAVID RUSSELL AYERS M.D.

MEDICARE:   DAVID RUSSELL AYERS  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician14758WV

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1184648297
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID RUSSELL AYERS M.D.
Provider Business Mailing Address
First Line : PO BOX 39
Second Line :
City : MILTON
State : WV
Zip : 25541-0039
Country : US
Telephone Number : 304-743-1407
Fax Number : 304-743-4516
Provider Business Practice Location Address
First Line : 1 HARBOUR WAY
Second Line :
City : MILTON
State : WV
Zip : 25541-1545
Country : US
Telephone Number : 304-743-1407
Fax Number : 304-743-4516
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/26/2006
Last Update Date : 07/08/2007

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Directions to “ DAVID RUSSELL AYERS M.D.” Practice Location

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