| Med Ex Pllc | |
|
705 Washington St Ravenswood WV 26164-1729 | |
| (800) 824-2543 | |
| (330) 862-2356 |
| Full Name | Med Ex Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 705 Washington St, Ravenswood, West Virginia |
| Authorized Official Name and Position | Richard J. Blackburn (PRESIDENT) |
| Authorized Official Contact | 8008242543 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Med Ex Pllc 705 Washington St Ravenswood WV 26164-1729 Ph: (800) 824-2543 | Med Ex Pllc 705 Washington St Ravenswood WV 26164-1729 Ph: (800) 824-2543 |
| NPI Number | 1598718074 |
|---|---|
| Provider Enumeration Date | 05/18/2006 |
| Last Update Date | 10/16/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598718074 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Secondary |
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |