Gastroenterology Of Southern Wv

NPI 1063618593 - Internal Medicine - 207RG0100X

NPI Details
NPI 1063618593
Enumeration Date 06/22/2007
Last Updated 03/22/2013
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name TOURAJ TOURAJ
Position OWNER
Phone (304) 250-0307
Fax (304) 250-0384
Practice Location
1844 HARPER RD
BECKLEY WV, 25801-3366, US
Phone (304) 250-0307
Fax (304) 250-0384
Business Location
1844 HARPER RD
BECKLEY WV, 25801-3366, US
Phone (304) 250-0307
Fax (304) 250-0384
Toxanomy
Taxonomy Code 207RG0100X
License State West Virginia
License Number 13804
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According to our database, Gastroenterology Of Southern Wv NPI is 1063618593, taxonomy code is 207RG0100X and license number is 13804, license state is located at West Virginia. Gastroenterology Of Southern Wv physically located at 1844 Harper Rd, Beckley WV, 25801-3366. NPI Number 1033115704 has the healthcare provider type.

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1063618593 NPI number is provided on an as is basis without warranty of any kind. 1063618593 is maintained by the National Plan & Provider Enumeration System. The contents of Gastroenterology Of Southern Wv are for informational purposes only.