in Princeton - Medical

- NPI 1043477987

is a Medical in Princeton, . practices all healthcare services and medical treatments related to Medical. The NPI Number for is 1043477987. The last update date is .

's current location address is Po Box 1030, Princeton, . You can contact this provider via phone number 3044319998 and fax number 3044250782. The mailing address for is Po Box 1030, Princeton, . To know further, please read the information below!

Provider Profile Detail

Provider Name
Address Po Box 1030, Princeton,
Phone Number 3044319998
Fax Number 3044250782
Sole Proprietor --
Credentials --

NPI Number Detail

NPI Number 1043477987
Provider Enumeration Date
Last Updated Date

Provider Mailing Address Detail

Address Po Box 1030
City Princeton
State (WV)
Post Code 247401030
Phone Number 3044319998
Fax Number 3044250782

Provider's Primary Taxonomy Detail

Speciality Medical
Taxonomy 363Am0700X
Licence No 432
Definition:
A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment.

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