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Organization
ANGER FAMILY PRACTICE, PLLC
Active
Organization
ANGER FAMILY PRACTICE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC RAY ANGER M.D. (MD/OWNER)
(304) 636-0133
Entity
Organization
Contact information
Practice address
62 BARNARD AVE, ELKINS, WV 26241-3150
(304) 636-0133
(304) 637-2007
Mailing address
PO BOX 29, ANGER FAMILY PRACTICE, PLLC, ELKINS, WV 26241-0029
(304) 637-3439
(304) 637-3435
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20931
WV
208000000X
Pediatrics Physician
61887
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002051730
MOUNTAIN STATE BCBS PAY TO #
WV
05
—
3810012616
—
WV
01
—
DO4248
RAILROAD MEDICARE
WV
Enumeration date
07/11/2008
Last updated
04/27/2009
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