| 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 | |
| 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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