MD2U WEST VIRGINIA LLC

CHARLESTON, WV
NPI1144563412
Entity TypeOrganization
Authorized ContactGREGORY DAVID LATTA
CIO
502-416-1851
Organization Subpart ?Yes
Primary Taxonomy363L00000X Nurse Practitioner
Enumeration Date2013-04-04
Last Update Date2013-04-04
Business Address
MD2U WEST VIRGINIA LLC
3501 MACCORKLE AVE SE # 151
CHARLESTON, WV 25304-1419
Phone number: 502-327-9100
Mailing Address
MD2U WEST VIRGINIA LLC
140 WHITTINGTON PKWY STE 100
LOUISVILLE, KY 40222-4930
Phone number: 502-327-9100
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