Healthcare Provider Details

I. General information

NPI: 1164742573
Provider Name (Legal Business Name): DAVID FRANCKE MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/08/2010
Last Update Date: 07/21/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1249 15TH ST 2000
HUNTINGTON WV
25701-3662
US

IV. Provider business mailing address

2930 CHESTERFIELD AVE
CHARLESTON WV
25304-1125
US

V. Phone/Fax

Practice location:
  • Phone: 304-691-1000
  • Fax: 304-691-1693
Mailing address:
  • Phone: 304-343-9923
  • Fax: 304-343-9925

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License Number27665
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: