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Organization

GREENBRIER VALLEY RADIATION ONCOLOGY, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHARLES E. GABE D.O. (DIRECTOR)
(304) 425-9160
Entity
Organization

Contact information

Practice address
187 SKYLAR DRIVE, FAIRLEA, WV 24901-9359
(304) 425-1960
(304) 487-3514
Mailing address
210 NEW HOPE RD, PRINCETON, WV 24740-2136
(304) 425-1960
(304) 487-3514

Taxonomy

Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0011237000
WV
Enumeration date
06/13/2006
Last updated
11/13/2007
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