IndividualActive
Antonio Mataban, MD
NPI 1154439289 · Urology Physician · Clarksburg, WV
Provider details
- NPI number
- 1154439289
- Entity type
- Individual
- Primary specialty
- Urology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 20628 (WV)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1medical Center Drive
Clarksburg, WV 26301
Phone: (304) 842-0422
Approximate (ZIP-level) locationGet directions
Mailing address
1medical Center Drive
Clarksburg, WV 26331
Registry dates
- Enumerated
- 2006-08-28
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.