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Individual

MATTHEW P ARVON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
189 HOME SCHOOL VILLAGE, COLCORD, WV 25048
(304) 854-1324
(304) 854-1996
Mailing address
PO BOX 147, DOROTHY, WV 25060-0147
(304) 854-1324
(304) 854-1996

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1659
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
001304980
BCBS
01
206638
CARELINK
05
22603
WV
01
288995
UNITEDHEALTHCARE
05
5600616000
WV
05
A01659
WV
Enumeration date
10/02/2006
Last updated
07/09/2007
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