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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MELCHOR F VIDAL, MD

Active Sole Proprietor

MELCHOR F VIDAL, MD is a Geriatric Medicine healthcare provider located in RACINE, West Virginia. NPI 1063515054 is currently active in the NPPES registry. Verify at CMS.

Geriatric Medicine · RACINE, WV

Registration Details

NPI Number
1063515054
Provider Type
Individual
Gender
Male
NPI Issued
Sep 6, 2006 (19.955341220957 yrs)
Last Updated
Jul 8, 2007
License
13443 (WV)
Sole Proprietor
Yes

Practice Information

Address
27545 DANIEL BOONE PRKWY
RACINE, WV, 25165
Browse WV providers · Browse ZIP 25165
Phone
3048378637
Primary Specialty
Geriatric Medicine
207QG0300X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.