Demetrio J Agcaoili MD LLC
Internal Medicine, Infectious Disease in Saintclairsville, OH. Organization (NPI-2).
NPI number1679643183
StatusActive
Last updated in NPPESJul 23, 2020
Details
- NPI
- 1679643183
- Entity type
- Organization (NPI-2)
- Legal business name
- Demetrio J Agcaoili MD LLC
- Organization subpart
- No
- Enumeration date
- Nov 9, 2006
- Certification date
- Jul 23, 2020
- Last updated
- Jul 23, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RI0200X | Internal Medicine, Infectious Disease | 35083354 | OH | Yes |
Practice location
51520 National Road ESuite 5
Saintclairsville, OH 43950-8213
Phone 740-296-5931 · Fax 740-296-5942
Mailing address
51520 National Road ESuite 5
Saintclairsville, OH 43950-8213
Phone 740-296-5931 · Fax 740-296-5942
Authorized official
Demetrio Jose Agcaoili
Owner
7406953703
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