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Organization
MARIETTA MEMORIAL HOSPITAL OF TYLER COUNTY INC
Active
Organization
MARIETTA MEMORIAL HOSPITAL OF TYLER COUNTY INC
Active
Other names
Professional Services Group
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL G WESTBROCK (VP, LEGAL AFFAIRS)
(740) 374-1581
Entity
Organization
Contact information
Practice address
314 S WELLS ST, SISTERSVILLE, WV 26175-1098
(304) 652-2611
Mailing address
C/O PAUL WESTBROCK, 314 S WELLS ST, SISTERSVILLE, WV 26175
(740) 374-1581
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
—
NULL
207P00000X
Emergency Medicine Physician
—
—
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
Other
Enumeration date
04/09/2021
Last updated
05/14/2021
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