Organization
MOUNTAIN VIEW FAMILY PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT W PHARES M.D. (OWNER)
(304) 754-7160
Entity
Organization
Contact information
Practice address
3790 HEDGESVILLE RD STE H, HEDGESVILLE, WV 25427-6704
(304) 754-7160
(304) 754-7244
Mailing address
3790 HEDGESVILLE RD STE H, HEDGESVILLE, WV 25427-6704
(304) 754-7160
(304) 754-7244
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
21259
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2005711000
—
WV
Enumeration date
06/06/2007
Last updated
02/12/2010
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