ALEXANDER VLADIMIROVICH OTELLIN

SOUTH CHARLESTON, WV
NPI1740302066
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: WV  22592)
Enumeration Date2007-04-06
Last Update Date2013-09-17
Business Address
Dr. ALEXANDER VLADIMIROVICH OTELLIN MD
401 DIVISION ST STE 307
SOUTH CHARLESTON, WV 25309-1455
Phone number: 304-932-4259
Mailing Address
Dr. ALEXANDER VLADIMIROVICH OTELLIN MD
401 DIVISION ST STE 307
SOUTH CHARLESTON, WV 25309-1455
Phone number: 304-932-4259