NPI 1033613930

Jacob Minor, DO

Practitioner Surgery Physician Charleston, WV

Practice location

Address: 3100 Maccorkle Ave SE STE 700, Charleston, WV 25304-1230
Phone: (304) 351-1600
Fax: (304) 351-1604
Mailing address: 501 Morris St, Charleston, WV 25301-1326

Registered specialties

Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence 4068 (WV)

Other Surgery providers in West Virginia →

Registry record

NPI: 1033613930
Entity type: Individual
Sex (as registered): Male
NPI issued: 23 Mar 2018
Record last updated: 9 Aug 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.