Organization
GARY L. POLING, D.O.
Active
Other names
Family Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY L. POLING D.O. (SOLE PROPRIETOR)
(304) 929-6020
Entity
Organization
Contact information
Practice address
25 MALLARD CT, BECKLEY, WV 25801-3664
(304) 929-6020
Mailing address
25 MALLARD CT, BECKLEY, WV 25801-3664
(304) 929-6020
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
WV1221
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0053014000
—
WV
Enumeration date
01/30/2008
Last updated
01/30/2008
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