Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. CRYSTAL MARIE HICKMAN RODEBAUGH, MD
ActiveDR. CRYSTAL MARIE HICKMAN RODEBAUGH, MD is a Family Medicine healthcare provider located in CAMDEN-ON-GAULEY, West Virginia. NPI 1568661064 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · CAMDEN-ON-GAULEY, WV
Registration Details
- NPI Number
- 1568661064
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 13, 2007 (19.099951924912 yrs)
- Last Updated
- Oct 8, 2013
- License
-
24041 (WV)
Practice Information
- Address
-
10003 WEBSTER ROADCAMDEN-ON-GAULEY, WV, 262083702Browse WV providers · Browse ZIP 26208
- Phone
- 3042265725
- Primary Specialty
-
Family Medicine
207Q00000X
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.