MICHAEL VAUGHN BAXTER BLEDSOE

RONCEVERTE, WV
NPI1770979874
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: WV  3097)
Enumeration Date2015-04-15
Last Update Date2023-11-01
Business Address
Dr. MICHAEL VAUGHN BAXTER BLEDSOE D.O.
1320 MAPLEWOOD AVE
RONCEVERTE, WV 24970-8016
Phone number: 304-647-4411
Mailing Address
Dr. MICHAEL VAUGHN BAXTER BLEDSOE D.O.
1320 MAPLEWOOD AVE
RONCEVERTE, WV 24970-8016
Phone number: 304-647-4411