Organization
FAYETTE PHYSICIAN NETWORK INC
Active
Other names
SMG Out of State
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID FREDERICK HESS MD (PRESIDENT/CEO)
(724) 430-5000
Entity
Organization
Contact information
Practice address
250 MAPLE ST, FRIENDSVILLE, MD 21531-2122
(301) 746-4160
(301) 746-4162
Mailing address
PO BOX 796, MORGANTOWN, WV 26507-0796
(800) 541-4009
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
08/06/2021
Last updated
08/06/2021
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