NPI Details | |
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NPI | 1104220409 |
Enumeration Date | 10/15/2014 |
Last Updated | 10/15/2014 |
Entity Type | Healthcare Provider |
Active | Over 3 years ago |
Authorized Information | |
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Name | TARA TARA |
Position | CREDENTIALIST |
Phone | (740) 752-3435 |
Fax | (740) 753-3436 |
Practice Location | |
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557 MAIN ST LOGAN WV, 25601-3809, US |
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Phone | (740) 752-3435 |
Fax | (740) 753-3436 |
Business Location | |
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PO BOX 390 HUNTINGTON WV, 25708-0390, US |
|
Phone | (304) 752-3435 |
Fax | (304) 752-3436 |
Toxanomy | |
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Taxonomy Code | 207Q00000X |
License State | |
License Number | |
Remove 1104220409 NPI Number |
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.
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