Organization
DEWEY F BENSENHAVER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEWEY F BENSENHAVER MD (OWNER)
(304) 257-1456
Entity
Organization
Contact information
Practice address
HC 30 BOX 95, PETERSBURG, WV 26847-9410
(304) 257-1456
Mailing address
HC 30 BOX 95, PETERSBURG, WV 26847-9410
(304) 257-1456
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
WV09657
WV
Other
Enumeration date
08/27/2007
Last updated
01/23/2008
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