# WESTON PRIMARY CARE, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104081686
- **Authorized official:** DR. JULIE M WENTZ DO (PHYSICIAN)
- **Authorized official phone:** (304) 517-1301

## Contact information

- **Practice address:** 1 GARTON PLZ, WESTON, WV 26452-2128
- **Practice address phone:** (304) 517-1301
- **Practice address fax:** (304) 517-1304
- **Mailing address:** 1 GARTON PLZ, WESTON, WV 26452-2128
- **Mailing address phone:** (304) 517-1301
- **Mailing address fax:** (304) 517-1304

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | WV2054 | WV | Yes |

## Other

- **Enumeration date:** 07/23/2008
- **Last updated:** 07/23/2008