Total Life Family Practice Center Inc

NPI 1043377559 - Family Medicine - 207Q00000X

NPI Details
NPI 1043377559
Enumeration Date 01/03/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name DEBBIE R DEBBIE
Position OFFICE MGR
Phone (304) 425-9568
Fax (304) 425-2744
Practice Location
118 12TH STREET EXT
PRINCETON WV, 24740-2352, US
Phone (304) 425-9568
Fax (304) 425-2744
Business Location
118 12TH STREET
PRINCETON WV, 24740-2352, US
Phone (304) 425-9568
Fax (304) 425-2744
Toxanomy
Taxonomy Code 207Q00000X
License State West Virginia
License Number 11841
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According to our database, Total Life Family Practice Center Inc NPI is 1043377559, taxonomy code is 207Q00000X and license number is 11841, license state is located at West Virginia. Total Life Family Practice Center Inc physically located at 118 12th Street Ext, Princeton WV, 24740-2352. NPI Number 1033115704 has the healthcare provider type.

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1043377559 NPI number is provided on an as is basis without warranty of any kind. 1043377559 is maintained by the National Plan & Provider Enumeration System. The contents of Total Life Family Practice Center Inc are for informational purposes only.