Terry Mangold, OD

NPI 1689671877 · on the registry since 2005 · sole proprietor

Practice

Address: 1405 Chandell St
Keyser
Keyser, WV 26726
Phone: (304) 788-5961
Fax: (304) 788-5961
Organisation at this address: Regional Eye Associates, Inc
Fort Ashby Business Associates, Inc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy: 152W00000X
152W00000X
Licence states on file: WV
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2008-08-07

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in West Virginia