STEPHANUS JOHANNES SERFONTEIN

PT PLEASANT, WV
NPI1154420990
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207R00000X Internal Medicine
(Licence: WV  21778)
Enumeration Date2006-09-21
Last Update Date2015-12-22
Business Address
Dr. STEPHANUS JOHANNES SERFONTEIN MD
2418 JEFFERSON AVE
PT PLEASANT, WV 25550-1528
Phone number: 304-675-6835
Mailing Address
Dr. STEPHANUS JOHANNES SERFONTEIN MD
3200 MACCORKLE SEAVE B16
CHARLESTON, WV 25304-1227
Phone number: 304-388-5848