# RAVEN WOOD MEDICAL, PLLC

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

## Provider details

- **NPI number:** 1609411974
- **Authorized official:** DAVID PRESTON ALLEN DO (OWNER/PROVIDER)
- **Authorized official phone:** (304) 923-2385

## Contact information

- **Practice address:** 660 SUNSET DR, RAINELLE, WV 25962-9412
- **Practice address phone:** (304) 923-2385
- **Practice address fax:** (304) 536-5031
- **Mailing address:** PO BOX 862, WHITE SULPHUR SPRINGS, WV 24986-0862
- **Mailing address phone:** (304) 536-5030
- **Mailing address fax:** (304) 536-5031

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/11/2019
- **Last updated:** 11/11/2019