| |
702 Proffessional Park Dr, Summersville, WV 26651-2018 | |
(304) 883-2381 | |
(304) 883-2383 |
Full Name | |
---|---|
Type | Facility |
Speciality | Podiatrist |
Location | 702 Proffessional Park Dr, Summersville, West Virginia |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1992244081 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213E00000X | Podiatrist | 00315 (West Virginia) | Primary |
Mailing Address | Practice Location Address |
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400 Fairview Heights Rd, Summersville, WV 26651-9308 Ph: (304) 872-8402 | 702 Proffessional Park Dr, Summersville, WV 26651-2018 Ph: (304) 883-2381 |