# MEDEXPRESS PRIMARY CARE WEST VIRGINIA, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Weirton Primary Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1982260303
- **Authorized official:** BRETT GALL (DIRECTOR PAYOR CONTRACTING)
- **Authorized official phone:** (304) 225-2500

## Contact information

- **Practice address:** 218 THREE SPRINGS DR, WEIRTON, WV 26062-3815
- **Practice address phone:** (304) 723-7252
- **Practice address fax:** (304) 723-7253
- **Mailing address:** 1001 CONSOL ENERGY DR, CANONSBURG, PA 15317-6506
- **Mailing address phone:** (304) 225-2500
- **Mailing address fax:** (724) 743-1133

## Taxonomy

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

## Other

- **Enumeration date:** 05/10/2019
- **Last updated:** 07/03/2019