IndividualActive
David Blaine, M.D.
NPI 1912968744 · Otolaryngology Physician · Beckley, WV
Provider details
- NPI number
- 1912968744
- Entity type
- Individual
- Primary specialty
- Otolaryngology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 21797 (WV)
Mailing address
84 Brookshire Ln
Beckley, WV 25801-6765
Registry dates
- Enumerated
- 2006-03-31
- Last updated
- 2022-04-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.