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Specialty details in registry · Wintersville, OH

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At a glance

105 North Avalon Drive, Wintersville, OH 43953

NPPES record updated Oct 16, 2023. Public records can lag behind changes at a practice.

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Insurance participation and appointment availability are not established by these public records.

Practice location

105 North Avalon Drive
Wintersville, OH 43953
Professional details: NPI, taxonomy & registry record
NPI1033541743
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
253Z00000X
Enumeration date
Aug 5, 2013
Record updated
Oct 16, 2023
More registry details
Provider type
Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

253Z00000X · Primary

Specialty details in registry

3747P1801X

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

105 North Avalon Drive
Wintersville, OH 43953
Phone
(740) 632-7827
Mailing address
105 NORTH AVALON DRIVE

WINTERSVILLE, OH 43953
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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