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Individual

DR. DAVID H CHURCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
527 MEDICAL PARK DR STE 304, BRIDGEPORT, WV 26330
(304) 933-3830
(304) 933-3837
Mailing address
527 MEDICAL PARK DR STE 304, BRIDGEPORT, WV 26330-9010
(304) 933-3830
(304) 933-3837

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
14739
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000044189
BLUE CROSS BLUE SHIELD
WV
05
0070525000
WV
01
WV14739A
HEALTH PLAN
WV
Enumeration date
05/16/2006
Last updated
07/21/2022
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