Organization
PUTNAM MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLINTON WILLIAM SLOAN DO (OWNER OF PRACTICE PUTNAM MEDICAL GR)
(304) 760-6040
Entity
Organization
Contact information
Practice address
3701 SUITE B TEAYS VALLEY RD, HURRICANE, WV 25526
(304) 760-6040
(304) 760-6042
Mailing address
3701 SUITE B TEAYS VALLEY RD, HURRICANE, WV 25526
(304) 760-6040
(304) 760-6042
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0074222000
—
WV
Enumeration date
04/30/2007
Last updated
08/22/2020
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