Ohio Valley Physicians, Inc

NPI 1104220409 - Family Medicine - 207Q00000X

NPI Details
NPI 1104220409
Enumeration Date 10/15/2014
Last Updated 10/15/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name TARA TARA
Position CREDENTIALIST
Phone (740) 752-3435
Fax (740) 753-3436
Practice Location
557 MAIN ST
LOGAN WV, 25601-3809, US
Phone (740) 752-3435
Fax (740) 753-3436
Business Location
PO BOX 390
HUNTINGTON WV, 25708-0390, US
Phone (304) 752-3435
Fax (304) 752-3436
Toxanomy
Taxonomy Code 207Q00000X
License State
License Number
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According to our database, Ohio Valley Physicians, Inc NPI is 1104220409, taxonomy code is 207Q00000X Ohio Valley Physicians, Inc physically located at 557 Main St, Logan WV, 25601-3809. NPI Number 1033115704 has the healthcare provider type.

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1104220409 NPI number is provided on an as is basis without warranty of any kind. 1104220409 is maintained by the National Plan & Provider Enumeration System. The contents of Ohio Valley Physicians, Inc are for informational purposes only.