| Dr Sadtha Surattanont | |
|
55 North Bolton St Romney WV 26757-1980 | |
| (304) 822-4241 | |
| (304) 822-3344 |
| Full Name | Dr Sadtha Surattanont |
|---|---|
| Speciality | General Practice |
| Location | 55 North Bolton St, Romney, West Virginia |
| Authorized Official Name and Position | Sadtha Surattanont (DOCTOR) |
| Authorized Official Contact | 3048224241 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Sadtha Surattanont Po Box 1980 55 North Bolton St Romney WV 26757-1980 Ph: (303) 822-4241 | Dr Sadtha Surattanont 55 North Bolton St Romney WV 26757-1980 Ph: (304) 822-4241 |
| NPI Number | 1982818332 |
|---|---|
| Provider Enumeration Date | 05/09/2007 |
| Last Update Date | 06/13/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982818332 | NPI | - | NPPES |
| 001720280 | Other | WV | BCBS |
| 550623785 | Other | ACORDIA PEIA | |
| 0127798000 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 10426 (West Virginia) | Primary |
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