Basic Information
| Provider Information | |||||||||
| NPI: | 1033370051 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | GALAPON | ||||||||
| FirstName: | PHILIP | ||||||||
| MiddleName: | A | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 7400 LYNN AVE | ||||||||
| Address2: | |||||||||
| City: | HAMLIN | ||||||||
| State: | WV | ||||||||
| PostalCode: | 255231138 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3048245806 | ||||||||
| FaxNumber: | 3048245804 | ||||||||
| Practice Location | |||||||||
| Address1: | 650 E MCDONALD AVE | ||||||||
| Address2: | |||||||||
| City: | MAN | ||||||||
| State: | WV | ||||||||
| PostalCode: | 256351012 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3045838585 | ||||||||
| FaxNumber: | 3045830875 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/23/2008 | ||||||||
| LastUpdateDate: | 12/30/2016 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | 24297 | WV | Y | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.