IndividualActive
Elizabeth Mazezka, DO
NPI 1861997033 · Internal Medicine Physician · Kingwood, WV
Provider details
- NPI number
- 1861997033
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Female
- Sole proprietor
- No
- License
- OS021649 (PA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
110 N Price St
Kingwood, WV 26537-1120
Phone: (304) 329-3500
Approximate (ZIP-level) locationGet directions
Mailing address
150 Memorial Dr
Kingwood, WV 26537-1141
Registry dates
- Enumerated
- 2018-03-28
- Last updated
- 2024-12-18
- Certified
- 2024-12-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.