# PRIMARY ONCOLOGY NETWORK PLLC

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

## Provider details

- **NPI number:** 1588610570
- **Authorized official:** JOHN JURJUS AZAR MD, FACP (OWNER)
- **Authorized official phone:** (304) 366-0111

## Contact information

- **Practice address:** 1325 LOCUST AVE STE 15, FAIRMONT, WV 26554-1435
- **Practice address phone:** (304) 366-0111
- **Practice address fax:** (304) 366-2099
- **Mailing address:** PO BOX 1286, FAIRMONT, WV 26555-1286
- **Mailing address phone:** (304) 366-0111
- **Mailing address fax:** (304) 366-2099

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RH0003X | Hematology & Oncology Physician | — | NULL | Yes |
| 207RH0003X | Hematology & Oncology Physician | — | — | Yes |
| 291U00000X | Clinical Medical Laboratory | 17192 | WV | — |
| 332900000X | Non-Pharmacy Dispensing Site | 26308 | WV | — |

## Other

- **Enumeration date:** 05/25/2006
- **Last updated:** 11/16/2016