| Melchor F Vidal Md Pllc | |
|
Corner Rt 3 And 94 Racine WV 25165 | |
| (304) 837-8637 | |
| Not Available |
| Full Name | Melchor F Vidal Md Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | Corner Rt 3 And 94, Racine, West Virginia |
| Authorized Official Name and Position | Melchor F Vidal (OWNER) |
| Authorized Official Contact | 3048378637 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Melchor F Vidal Md Pllc Po Box 4535 Charleston WV 25364-4535 Ph: (304) 837-8637 | Melchor F Vidal Md Pllc Corner Rt 3 And 94 Racine WV 25165 Ph: (304) 837-8637 |
| NPI Number | 1073714127 |
|---|---|
| Provider Enumeration Date | 05/29/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073714127 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |