DR. DAVID WILLIAM GOETZ M.D.

Allergy and Immunology

Morgantown, West Virginia

Provider NPI: 1073517983

Provider Information:
DR. DAVID WILLIAM GOETZ M.D.


Practice Location:
1063 MAPLE DR SUITE 1A MORGANTOWN, WV 26505 US
Tel: 304-598-2992  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

Primary	Code	Category/Description	State	License Number
N	207K00000X	Physicians Allergy & Immunology	WV	NA
Y	174400000X	Other Service Providers Specialist

Other Provider Identifiers:

Issuer	Number	State	Type
	0070421000	WV	05

Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin

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