| Weston Primary Care, Pllc | |
|
1 Garton Plz Weston WV 26452-2128 | |
| (304) 517-1301 | |
| (304) 517-1304 |
| Full Name | Weston Primary Care, Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 1 Garton Plz, Weston, West Virginia |
| Authorized Official Name and Position | Julie M Wentz (PHYSICIAN) |
| Authorized Official Contact | 3045171301 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Weston Primary Care, Pllc 1 Garton Plz Weston WV 26452-2128 Ph: (304) 517-1301 | Weston Primary Care, Pllc 1 Garton Plz Weston WV 26452-2128 Ph: (304) 517-1301 |
| NPI Number | 1104081686 |
|---|---|
| Provider Enumeration Date | 07/23/2008 |
| Last Update Date | 07/23/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104081686 | NPI | - | NPPES |
| 3810006556 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | WV2054 (West Virginia) | Primary |
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