Western Greenbrier Internal Medicine Pllc

NPI 1538331053 - Internal Medicine - 207R00000X

NPI Details
NPI 1538331053
Enumeration Date 03/25/2008
Last Updated 03/25/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name PHILLIP E PHILLIP
Position PHYSICIAN OWNER
Phone (304) 438-5550
Fax (304) 438-5559
Practice Location
512 MAIN STREET
RAINELLE WV, 25962, US
Phone (304) 438-5550
Fax (304) 438-5559
Business Location
512 MAIN STREET
RAINELLE WV, 25962, US
Phone (304) 438-5550
Fax (304) 438-5559
Toxanomy
Taxonomy Code 207R00000X
License State West Virginia
License Number 13144
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According to our database, Western Greenbrier Internal Medicine Pllc NPI is 1538331053, taxonomy code is 207R00000X and license number is 13144, license state is located at West Virginia. Western Greenbrier Internal Medicine Pllc physically located at 512 Main Street, Rainelle WV, 25962. NPI Number 1033115704 has the healthcare provider type.

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1538331053 NPI number is provided on an as is basis without warranty of any kind. 1538331053 is maintained by the National Plan & Provider Enumeration System. The contents of Western Greenbrier Internal Medicine Pllc are for informational purposes only.