Organization
LIFETREE MEDICAL SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TODD R JONES (PRESIDENT)
(304) 344-1623
Entity
Organization
Contact information
Practice address
462 KENMORE DR, DANVILLE, WV 25053-7133
(304) 369-0986
Mailing address
PO BOX 280, CABIN CREEK, WV 25035-0280
(304) 556-1060
(304) 556-1061
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/02/2017
Last updated
03/15/2022
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