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Organization

PEDIATRIC CARE

Active
Other names
PEDIATRIC CARE
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LAURA R BLOSSER M.D. (PHYSICIAN)
(304) 243-1250
Entity
Organization

Contact information

Practice address
30 MEDICAL PARK, STE 202, WHEELING, WV 26003-6391
(304) 243-1250
(304) 243-1518
Mailing address
30 MEDICAL PARK STE 202, WHEELING, WV 26003-6391
(304) 243-1250
(304) 243-1518

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary

Other

Enumeration date
09/22/2006
Last updated
08/22/2020
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