# WESTERN VIRGINIA OB-GYN CENTER PC

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

## Provider details

- **NPI number:** 1316953946
- **Authorized official:** MRS. JUDITH H REPASS (PRACTICE MANAGER)
- **Authorized official phone:** (540) 774-6000

## Contact information

- **Practice address:** 4231 COLONIAL AVE, SUITE 1, ROANOKE, VA 24018-4002
- **Practice address phone:** (540) 774-6000
- **Practice address fax:** (540) 774-5276
- **Mailing address:** 4231 COLONIAL AVE, SUITE 1, ROANOKE, VA 24018-4002
- **Mailing address phone:** (540) 774-6000
- **Mailing address fax:** (540) 774-5276

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 101028920 | VA | Yes |

## Other

- **Enumeration date:** 08/01/2006
- **Last updated:** 07/09/2012