Organization
ALWAHIDO MEDICAL CORPORATION M C
Active
Other names
Stanaford Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CYNTHIA ANN JAFARY (DIRECTOR OFFICE MANAGER)
(304) 256-8227
Entity
Organization
Contact information
Practice address
451 STANAFORD RD, BECKLEY, WV 25801-3145
(304) 256-8227
(304) 256-8214
Mailing address
PO BOX 299, STANAFORD MEDICAL CLINIC, STANAFORD, WV 25927-0299
(304) 256-8227
(304) 256-8214
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
207RP1001X
Pulmonary Disease Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810002364
—
WV
Enumeration date
10/13/2006
Last updated
11/19/2012
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