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Organization

IPS OF WINCHESTER LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
HARRY NELSON GUSTIN MD (OWNER/PHYSICIAN)
(540) 667-8724
Entity
Organization

Contact information

Practice address
20 S STEWART ST, SUITE 200, WINCHESTER, VA 22601-4153
(540) 313-4358
(540) 313-4962
Mailing address
148 LINDEN DR, SUITE 101, WINCHESTER, VA 22601-6902
(540) 504-0075
(540) 450-0185

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary

Other

Enumeration date
12/11/2013
Last updated
12/11/2013
About Stedi
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  • Eligibility checks
  • EDI platform