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NPI Code Detail

MEDICARE: ROBERT M. HARPOLD, MD, PLLC

MEDICARE: ROBERT M. HARPOLD, MD, PLLC
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
1207R00000XInternal Medicine Physician21529WV

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 : 1225397508
Entity Type Code : Organization
Provider Name (Legal Business Name) : ROBERT M. HARPOLD, MD, PLLC
Provider Business Mailing Address
First Line : 3418 STANTON AVE SE
Second Line :
City : CHARLESTON
State : WV
Zip : 25304
Country : US
Telephone Number : 304-720-3600
Fax Number : 304-720-3602
Provider Business Practice Location Address
First Line : 3418 STANTON AVE SE
Second Line :
City : CHARLESTON
State : WV
Zip : 25304
Country : US
Telephone Number : 304-720-3600
Fax Number : 304-720-3602
Authorized Official
Title or Position : OWNER
Name : DR. ROBERT MORRIS HARPOLD
Credential : MD
Telephone Number : 304-720-3600
Provider Enumeration Date : 05/08/2012
Last Update Date : 05/08/2012

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