# NITRO PRIMARY CARE

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

## Provider details

- **NPI number:** 1518037845
- **Authorized official:** DR. E MICHAEL ROBIE DO (PARTNER)
- **Authorized official phone:** (304) 755-4797

## Contact information

- **Practice address:** 4111 1ST AVE, NITRO, WV 25143-1304
- **Practice address phone:** (304) 755-4797
- **Mailing address:** PO BOX 157, NITRO, WV 25143-0157
- **Mailing address phone:** (304) 755-4797

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 2130 | WV | Yes |

## Other

- **Enumeration date:** 11/08/2006
- **Last updated:** 09/11/2013