Organization
EXEMPLAR, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY BOGART (ADMIN. ASSIST/CREDENTIALING SPECIAL)
(800) 294-7001
Entity
Organization
Contact information
Practice address
153 W MAIN ST, BRIDGEPORT, WV 26330-1714
(304) 848-2400
(304) 848-2401
Mailing address
100 AVERY OLIVIA WAY, SUITE C, FAIRMONT, WV 26554-9375
(304) 363-7000
(304) 363-7413
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
09/22/2006
Last updated
02/04/2010
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