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Organization

SCHWARZENBERG & SCHWARZENBERG MDS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JANA LEIGH DILLON (OFFICE MANAGER)
(304) 329-3500
Entity
Organization

Contact information

Practice address
110 N PRICE ST, KINGWOOD, WV 26537-1120
(304) 329-3500
(304) 329-2088
Mailing address
110 N PRICE ST, KINGWOOD, WV 26537-1120
(304) 329-3500
(304) 329-2088

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
14978
WV
208000000X
Pediatrics Physician
14977
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0051964000
WV
01
14978
WV LICENSE #
WV
01
1598751687
INDIVIDUAL NPI M. SCHWARZ
WV
Enumeration date
07/21/2006
Last updated
02/21/2020
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