MAIN STREET FAMILY PRACTICE, INC

LOGAN, WV
NPI1073542809
Entity TypeOrganization
Authorized ContactKENNETH SELLS
President
304-752-3400
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: WV  016632)
Enumeration Date2006-07-02
Last Update Date2020-08-22
Business Address
MAIN STREET FAMILY PRACTICE, INC
533 MAIN ST
LOGAN, WV 25601-3809
Phone number: 304-752-3400
Mailing Address
MAIN STREET FAMILY PRACTICE, INC
533 MAIN ST
LOGAN, WV 25601-3809
Phone number: 304-752-3400
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