Curtis Brent Pack DO

NPI 1013016849 - Family Medicine - 207Q00000X

NPI Details
NPI 1013016849
Gender Male
Enumeration Date 09/21/2006
Last Updated 11/22/2013
Entity Type Individual
Active Over 10 years ago
Practice Location
503 ROOSEVELT BLVD
ELEANOR WV, 25070, US
Phone (304) 586-0001
Fax
Business Location
301 GREAT TEAYS BLVD STE 6
SCOTT DEPOT WV, 25560-9552, US
Phone (304) 757-6999
Fax (304) 757-3252
Toxanomy
Taxonomy Code 207Q00000X
License State West Virginia
License Number 1450
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According to our database, Curtis Brent Pack DO NPI is 1013016849, taxonomy code is 207Q00000X and license number is 1450, license state is located at West Virginia. Curtis Brent Pack DO physically located at 503 Roosevelt Blvd, Eleanor WV, 25070. NPI Number Curtis Brent Pack DO has the Individual type.

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1013016849 NPI number is provided on an as is basis without warranty of any kind. 1013016849 is maintained by the National Plan & Provider Enumeration System. The contents of Curtis Brent Pack DO are for informational purposes only.