IndividualActive
Daniel Prudich, MD
NPI 1689635096 · Emergency Medicine Physician · Spencer, WV
Provider details
- NPI number
- 1689635096
- Entity type
- Individual
- Primary specialty
- Emergency Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 14183 (WV)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
200 Hospital Dr
Spencer, WV 25276-1050
Phone: (304) 927-4444
Fax: (304) 927-6807
Approximate (ZIP-level) locationGet directions
Mailing address
200 Hospital Dr
Spencer, WV 25276-1050
Registry dates
- Enumerated
- 2006-03-28
- 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.