BONAVENTURE J PORCO

MORGANTOWN, WV
NPI1093747164
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: WV  27755)
Enumeration Date2006-07-07
Last Update Date2007-12-05
Business Address
-- BONAVENTURE J PORCO CRNA
1200 J D ANDERSON DR
MORGANTOWN, WV 26505-3494
Phone number: 304-243-3343
Mailing Address
-- BONAVENTURE J PORCO CRNA
1 MEDICAL PARK
WHEELING, WV 26003-6379
Phone number: 304-243-3343
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