Organization
JEFFERSON PRIMARY CARE
Active
Organization
JEFFERSON PRIMARY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAFA MOHAMED OSMAN MD (SOLE PROPRIETOR)
(304) 724-7200
Entity
Organization
Contact information
Practice address
116 E 3RD AVE, RANSON, WV 25438-1641
(304) 724-7200
(304) 724-7208
Mailing address
PO BOX 69, RANSON, WV 25438-0069
(304) 724-7200
(304) 724-7208
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101241056
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0207571000
—
WV
Enumeration date
04/25/2007
Last updated
03/09/2010
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