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Individual

MR. STEVEN K JAMESON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
200 HEALTH CENTER DRIVE, UNION, WV 24983-0000
(304) 772-3064
(304) 772-3296
Mailing address
PO BOX 590, UNION, WV 24983-0590
(304) 772-3064
(304) 772-3296

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0102202969
VA
207Q00000X
Family Medicine Physician
Primary
1473
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000071943
BC
WV
05
0054247000
WV
01
1039647
W COMP
WV
01
P00160909
RR MCARE
WV
Enumeration date
11/02/2005
Last updated
02/17/2012
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