Organization
WEST VIRGINIA SCHOOL OF OSTEOPATHIC MEDICINE CLINIC INC
Active
Other names
Robert C. Byrd Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MARY P NEMCIK (EXECUTIVE DIRECTOR)
(304) 645-3220
Entity
Organization
Contact information
Practice address
1464 JEFFERSON ST N, LEWISBURG, WV 24901-1380
(304) 645-3220
(304) 793-2491
Mailing address
1464 JEFFERSON ST N, LEWISBURG, WV 24901-1380
(304) 645-3220
(304) 793-2491
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
208000000X
Pediatrics Physician
—
—
2080P0214X
Pediatric Pulmonology Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
2084P0800X
Psychiatry Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
08/10/2018
Last updated
01/30/2025
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