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Organization
PUTNAM FAMILY PRACTICE ASSOCIATES INC.
Active
Organization
PUTNAM FAMILY PRACTICE ASSOCIATES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDALL WATSON PETERSON M.D. (PRESIDENT)
(304) 757-6736
Entity
Organization
Contact information
Practice address
3952 TEAYS VALLEY RD, HURRICANE, WV 25526-8728
(304) 757-6736
(304) 757-0582
Mailing address
3952 TEAYS VALLEY RD, HURRICANE, WV 25526-8728
(304) 757-6736
(304) 757-0582
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
14044
WV
Other
Enumeration date
02/20/2007
Last updated
10/07/2011
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