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Organization
MEDEXPRESS PRIMARY CARE WEST VIRGINIA, INC.
Active
Organization
MEDEXPRESS PRIMARY CARE WEST VIRGINIA, INC.
Active
Other names
Optum Virtual Care
Organization subpart
No
Provider details
NPI number
Authorized official
BRETT GALL (DIRECTOR PAYOR CONTRACTING)
(304) 225-2500
Entity
Organization
Contact information
Practice address
423 FORTRESS BLVD, MORGANTOWN, WV 26508-1351
(304) 225-2500
Mailing address
1001 CONSOL ENERGY DR, CANONSBURG, PA 15317-6506
(304) 225-2500
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
—
NULL
207P00000X
Emergency Medicine Physician
—
—
261QU0200X
Urgent Care Clinic/Center
Primary
—
NULL
Other
Enumeration date
04/07/2021
Last updated
04/07/2021
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