Organization
DOCTORS QUICK CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS A LAUDERMAN DO (CEO)
(304) 623-6300
Entity
Organization
Contact information
Practice address
429 SMITHFIELD ST, ANMOORE, WV 26323
(304) 623-6300
(304) 623-1006
Mailing address
RT 2 BOX 900, BRIDGEPORT, WV 26330-9680
(304) 623-6300
(304) 623-1006
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1433
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0045383000
—
WV
Enumeration date
03/07/2007
Last updated
12/17/2007
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