GLEN DALE MEDICINE & PEDIATRICS, PLLC

Pediatrics

Active Organization
NPI: 1710974159

Practice Address

407 WHEELING AVE
Glen Dale, WV 26038

Phone: (304) 845-1500

Specialties

Specialty Code Primary License
Internal Medicine 207R00000X No -001 (WV)
Pediatrics 208000000X Yes -001 (WV)

Frequently Asked Questions

NPI 1710974159 is the National Provider Identifier for GLEN DALE MEDICINE & PEDIATRICS, PLLC, a Pediatrics provider located in Glen Dale, WV. This NPI was enumerated on September 30, 2005.

Quick Facts

NPI
1710974159
Type
Organization
Enumerated
Sep 30, 2005
Last Updated
Sep 11, 2025

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