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NPI Verification

National Provider Identifier: 1104812304

Rogelio O Bantug, MD

Individual Provider

Credentials

Primary Specialty

Family Medicine

Code: 207Q00000X

Practice Address

314 S WELLS ST

SISTERSVILLE, WV 261751098

Phone: 304-447-2030

NPI Enumeration Date

September 22, 2005

NPI Number

1104812304

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry