# CAMDEN-CLARK PHYSICIAN CORPORATION

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

## Provider details

- **NPI number:** 1629899869
- **Authorized official:** KYLE ANTHONY PIERSON (CFO)
- **Authorized official phone:** (304) 424-2202

## Contact information

- **Practice address:** 604 ANN ST, PARKERSBURG, WV 26101-5122
- **Practice address phone:** (304) 865-5065
- **Practice address fax:** (304) 865-5066
- **Mailing address:** PO BOX 843, MORGANTOWN, WV 26507-0843
- **Mailing address phone:** (304) 285-7101

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/21/2024
- **Last updated:** 12/30/2024