Provider Demographics
NPI:1285302836
Name:DELBELLO, ROBERT GARNER
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:GARNER
Last Name:DELBELLO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 MEDICAL CENTER DR.
Mailing Address - Street 2:
Mailing Address - City:MORGANTOWN
Mailing Address - State:WV
Mailing Address - Zip Code:26506
Mailing Address - Country:US
Mailing Address - Phone:304-598-0430
Mailing Address - Fax:304-598-4890
Practice Address - Street 1:1 MEDICAL CENTER DR.
Practice Address - Street 2:
Practice Address - City:MORGANTOWN
Practice Address - State:WV
Practice Address - Zip Code:26506
Practice Address - Country:US
Practice Address - Phone:304-598-0430
Practice Address - Fax:304-598-4890
Is Sole Proprietor?:No
Enumeration Date:2021-08-31
Last Update Date:2022-05-01
Deactivation Date:2022-03-20
Deactivation Code:
Reactivation Date:2022-04-28
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program