Westwood Family Medicine Pllc | |
12 Westwood Medical Park Bluefield VA 24605-2000 | |
(678) 897-1375 | |
Not Available |
Full Name | Westwood Family Medicine Pllc |
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Speciality | Family Medicine |
Location | 12 Westwood Medical Park, Bluefield, Virginia |
Authorized Official Name and Position | Hiep Van Le (OWNER) |
Authorized Official Contact | 6788971375 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Westwood Family Medicine Pllc Po Box 933 Bluefield VA 24605-0933 Ph: (678) 897-1375 | Westwood Family Medicine Pllc 12 Westwood Medical Park Bluefield VA 24605-2000 Ph: (678) 897-1375 |
NPI Number | 1912451873 |
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Provider Enumeration Date | 08/09/2016 |
Last Update Date | 04/02/2020 |
Medicare PECOS PAC ID | 8426346594 |
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Medicare Enrollment ID | O20161005003134 |
Identifier | Type | State | Issuer |
---|---|---|---|
1912451873 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 56317715 (Virginia) | Primary |
Provider Name | Hiep V Le |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1891093944 PECOS PAC ID: 1557519709 Enrollment ID: I20120913000597 |
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