| Primary Care Associates Pc | |
|
1935 W Main St Salem VA 24153-3109 | |
| (540) 302-0192 | |
| (540) 302-0193 |
| Full Name | Primary Care Associates Pc |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 1935 W Main St, Salem, Virginia |
| Authorized Official Name and Position | Edwin J Polverino (PRESIDENT) |
| Authorized Official Contact | 5403020190 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Primary Care Associates Pc 1935 W Main St Po Box 1568 Salem VA 24153-3109 Ph: (540) 302-0192 | Primary Care Associates Pc 1935 W Main St Salem VA 24153-3109 Ph: (540) 302-0192 |
| NPI Number | 1619914439 |
|---|---|
| Provider Enumeration Date | 06/01/2006 |
| Last Update Date | 09/21/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619914439 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (Virginia) | Primary |
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