Organization
MANUEL B. VILLANUEVA M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MANUEL B. VILLANUEVA M.D. (OWNER)
(304) 877-2600
Entity
Organization
Contact information
Practice address
6070 ROBERT C BYRD DR, BRADLEY, WV 25818
(304) 877-2600
(304) 877-2600
Mailing address
PO BOX 265, BRADLEY, WV 25818-0265
(304) 877-2600
(304) 877-2600
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
11992
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0056004000
—
WV
01
—
410013738
RAILROAD MEDICARE
WV
Enumeration date
11/16/2007
Last updated
05/22/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us