| Uhc Gastroenterology | |
|
527 Medical Park Dr Ste 402 Bridgeport WV 26330-9010 | |
| (681) 342-3690 | |
| Not Available |
| Full Name | Uhc Gastroenterology |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 527 Medical Park Dr Ste 402, Bridgeport, West Virginia |
| Authorized Official Name and Position | Michael Tillman (CEO) |
| Authorized Official Contact | 6813421620 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Uhc Gastroenterology 527 Medical Park Dr Ste 402 Bridgeport WV 26330-9010 Ph: (681) 342-3690 | Uhc Gastroenterology 527 Medical Park Dr Ste 402 Bridgeport WV 26330-9010 Ph: (681) 342-3690 |
| NPI Number | 1184940132 |
|---|---|
| Provider Enumeration Date | 04/15/2010 |
| Last Update Date | 11/05/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184940132 | NPI | - | NPPES |
| 3810021342 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 107 (West Virginia) | Primary |
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