Organization
DOCTORS SPECIALTY CARE
Active
Other names
Addiction Center of WV
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS LAUDERMAN D.O. (OWNER)
(304) 623-6300
Entity
Organization
Contact information
Practice address
27 TROVATO ST, SUITE NUMBER 103, BRIDGEPORT, WV 26330-7002
(304) 623-6300
(304) 623-6302
Mailing address
27 TROVATO ST,, SUITE NUMBER 103, BRIDGEPORT, WV 26330
(304) 623-6300
(304) 623-6302
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
—
—
Other
Enumeration date
05/28/2015
Last updated
05/28/2015
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