NPI 1104812304 · live from the CMS NPI Registry
Rogelio O Bantug, MD
Family Medicine in Sistersville, WV. National Provider Identifier 1104812304, active.
NPI record
| NPI | 1104812304 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | 314 S Wells St, Sistersville, WV 26175 |
| Practice phone | 304-447-2030 |
| Enumerated | September 22, 2005 |
| Last updated | August 9, 2023 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine primary | 207Q00000X | 10665 (WV) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.