MOUNTAINEER FAMILY MEDICINE, INC.

CHARLESTON, WV
NPI1295874436
Entity TypeOrganization
Authorized ContactMOHAMAD SAMAH KALOU
Owner
304-767-7840
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: WV  22493)
Enumeration Date2007-02-05
Last Update Date2008-02-04
Business Address
MOUNTAINEER FAMILY MEDICINE, INC.
500 POPLAR ST SUITE 204
CHARLESTON, WV 25309-1474
Phone number: 304-767-7840
Mailing Address
MOUNTAINEER FAMILY MEDICINE, INC.
PO BOX 11908
CHARLESTON, WV 25339-1908
Phone number: 304-767-7840
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