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Individual

PHILLIP VAN SWEARINGEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
200 WEDGEWOOD DR, SUITE 202, MORGANTOWN, WV 26505-2442
(304) 599-1448
(304) 599-5335
Mailing address
200 WEDGEWOOD DR, SUITE 202, MORGANTOWN, WV 26505-2442
(304) 599-1448
(304) 599-5335

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
13839
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000122409
BLUE CROSS BLUE SHIELD
05
0088634000
WV
01
100007159
RAILROAD MEDICARE
01
134309
UNISON
01
WV13839
HEALTHPLAN UPPER OHIO VAL
Enumeration date
10/23/2006
Last updated
07/08/2007
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