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>> Family Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1932307063

Individual Registrant:
Gender: F
Not Sole Proprietor

Location and contact information for practice:
Tel: 304-454-2421  Fax: 304-454-9690

Contact information for business:
PO BOX 35  NEWBURG, WV 26410-0035 US
Tel: 304-892-2828  Fax: 304-892-2927

Registration Information:
NPI: 1932307063
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207Q00000XAllopathic & Osteopathic Physicians
Family Medicine

Legacy codes, insurance codes and state license numbers:



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