Preston Family Health Center Llc

NPI 1053444844 - Family Medicine - 207Q00000X

NPI Details
NPI 1053444844
Enumeration Date 03/13/2007
Last Updated 06/23/2011
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name MICHAEL JOHN MICHAEL
Position OWNER
Phone (304) 329-0555
Fax (304) 329-0556
Practice Location
411 MORGANTOWN ST
KINGWOOD WV, 26537-1095, US
Phone (304) 329-0555
Fax (304) 329-0556
Business Location
411 MORGANTOWN ST
KINGWOOD WV, 26537-1095, US
Phone (304) 329-0555
Fax (304) 329-0556
Toxanomy
Taxonomy Code 207Q00000X
License State West Virginia
License Number 19645
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According to our database, Preston Family Health Center Llc NPI is 1053444844, taxonomy code is 207Q00000X and license number is 19645, license state is located at West Virginia. Preston Family Health Center Llc physically located at 411 Morgantown St, Kingwood WV, 26537-1095. NPI Number 1033115704 has the healthcare provider type.

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1053444844 NPI number is provided on an as is basis without warranty of any kind. 1053444844 is maintained by the National Plan & Provider Enumeration System. The contents of Preston Family Health Center Llc are for informational purposes only.