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1508483496
MOHAMMAD HISHAM HOUT
BRIDGEPORT, WV
NPI
1508483496
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208800000X Urology
(Licence: WV 31773)
Additional Taxonomies
208800000X Urology
(Licence: RI LP04882)
Enumeration Date
2020-06-26
Last Update Date
2022-09-12
Business Address
MOHAMMAD HISHAM HOUT M.D.
327 MEDICAL PARK DR
BRIDGEPORT, WV 26330-9006
Phone number: 401-368-2486
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Mailing Address
MOHAMMAD HISHAM HOUT M.D.
327 MEDICAL PARK DR
BRIDGEPORT, WV 26330-9006
Phone number: 401-368-2486
Copy
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