Organization
SPECTRUM FAMILY CARE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA D SIZEMORE (BUSINESS OFFICE DIRECTOR)
(304) 397-5744
Entity
Organization
Contact information
Practice address
1401 HOSPITAL DR, SUITE 306, HURRICANE, WV 25526-9237
(304) 397-5744
(304) 757-0964
Mailing address
1401 HOSPITAL DR, SUITE 306, HURRICANE, WV 25526-9237
(304) 397-5744
(304) 757-0964
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810018383
—
WV
Enumeration date
06/10/2010
Last updated
09/16/2010
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