Riverview Primary Care | |
600 18th St Suite 303 Parkersburg WV 26101-3231 | |
(304) 424-4146 | |
(304) 424-4147 |
Full Name | Riverview Primary Care |
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Speciality | Family Medicine |
Location | 600 18th St, Parkersburg, West Virginia |
Authorized Official Name and Position | Brandon M. Wolfe (OWNER) |
Authorized Official Contact | 3044244146 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Riverview Primary Care 600 18th St Suite 303 Parkersburg WV 26101-3231 Ph: (304) 424-4146 | Riverview Primary Care 600 18th St Suite 303 Parkersburg WV 26101-3231 Ph: (304) 424-4146 |
NPI Number | 1114162765 |
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Provider Enumeration Date | 12/11/2008 |
Last Update Date | 12/11/2008 |
Medicare PECOS PAC ID | 4284790825 |
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Medicare Enrollment ID | O20090305000391 |
Identifier | Type | State | Issuer |
---|---|---|---|
1114162765 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (West Virginia) | Primary |
Provider Name | Brandon Matthew Wolfe |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1760493043 PECOS PAC ID: 7416059647 Enrollment ID: I20070219000613 |
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