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Organization
FAYETTE PHYSICIAN NETWORK INC
Active
Organization
FAYETTE PHYSICIAN NETWORK INC
Active
Other names
SMG Out of State
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID FREDERICK HESS MD (PRESIDENT/CEO)
(724) 430-5000
Entity
Organization
Contact information
Practice address
250 MAPLE ST, FRIENDSVILLE, MD 21531-2122
(301) 746-4160
(301) 746-4162
Mailing address
PO BOX 796, MORGANTOWN, WV 26507-0796
(800) 541-4009
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
08/06/2021
Last updated
08/06/2021
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