Most Relevant Information
Provider Data
  | NPI Number: | 1003550765 | 
| Provider Name: | CAMERON DUBA DO | 
| Entity Type: | Individual | 
| Taxonomy Code: | 390200000X | 
| Specialty: | Student in an Organized Health Care Education/Training Program | 
| License Number: | 
Most Important Dates
  | Enumeration Date: | 04/27/2022 | 
| Last Updated: | 01/05/2024 | 
Provider Practice Location
  3200 MACCORKLE AVE SE
      
      CHARLESTON
      WV
      253041227
  Practice Location Phone/Fax
      | Phone: | 3043884172 | 
| Fax: | 3043884155 | 
Provider Mailing Location
  3200 MACCORKLE AVE SE
      
      CHARLESTON
      WV
      253041227
  Provider Mailing Phone/Fax
      | Phone: | 3043884172 | 
| Fax: | 3043884155 |