# MINOR FAMILY PRACTICE PLLC

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

## Provider details

- **NPI number:** 1194810929
- **Authorized official:** DR. WILLIAM REEVES MINOR DO (MEDICAL DOCTOR)
- **Authorized official phone:** (304) 285-5515

## Contact information

- **Practice address:** 1401 EARL CORE ROAD, SUITE D, MORGANTOWN, WV 26505-5839
- **Practice address phone:** (304) 285-5515
- **Practice address fax:** (304) 285-5524
- **Mailing address:** 1401 EARL CORE ROAD, SUITE D, MORGANTOWN, WV 26505-5839
- **Mailing address phone:** (304) 285-5515
- **Mailing address fax:** (304) 285-5524

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 729 | WV | Yes |
| 207Q00000X | Family Medicine Physician | OS006467E | PA | — |

## Other

- **Enumeration date:** 10/04/2006
- **Last updated:** 03/15/2011
