Provider Demographics
NPI:1083645758
Name:TRIPLETT, PHILLIP REGINALD II (DO)
Entity Type:Individual
Prefix:
First Name:PHILLIP
Middle Name:REGINALD
Last Name:TRIPLETT
Suffix:II
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:400 DIVISION ST STE 10
Mailing Address - Street 2:
Mailing Address - City:SOUTH CHARLESTON
Mailing Address - State:WV
Mailing Address - Zip Code:25309-1459
Mailing Address - Country:US
Mailing Address - Phone:304-767-7890
Mailing Address - Fax:304-767-7899
Practice Address - Street 1:505 SUMMERS ST
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:WV
Practice Address - Zip Code:25301-1610
Practice Address - Country:US
Practice Address - Phone:304-400-4900
Practice Address - Fax:304-400-4907
Is Sole Proprietor?:No
Enumeration Date:2006-07-05
Last Update Date:2022-01-31
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WV1767207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine