| St. Joseph's Physician Group | |
|
10 Amalia Dr Suite B-1 Buckhannon WV 26201-2271 | |
| (304) 473-2200 | |
| (304) 473-2057 |
| Full Name | St. Joseph's Physician Group |
|---|---|
| Speciality | General Practice |
| Location | 10 Amalia Dr, Buckhannon, West Virginia |
| Authorized Official Name and Position | Tony Atkins (CEO) |
| Authorized Official Contact | 3044732118 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| St. Joseph's Physician Group 10 Amalia Dr Suite B-1 Buckhannon WV 26201-2271 Ph: (304) 473-2200 | St. Joseph's Physician Group 10 Amalia Dr Suite B-1 Buckhannon WV 26201-2271 Ph: (304) 473-2200 |
| NPI Number | 1295756559 |
|---|---|
| Provider Enumeration Date | 07/22/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295756559 | NPI | - | NPPES |
| 0009185000 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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