Organization
SHENANDOAH PREVENTIVE MEDICINE, INC.
Active
Other names
J.A. Burgess V, D.O.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN ALEXANDER BURGESS V D.O. (PRESIDENT)
(304) 263-3335
Entity
Organization
Contact information
Practice address
215 S LOUISIANA AVE, MARTINSBURG, WV 25401-2037
(304) 263-3335
(304) 267-5557
Mailing address
215 S LOUISIANA AVE, MARTINSBURG, WV 25401-2037
(304) 263-3335
(304) 267-5557
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
1000
WV
Other
Enumeration date
04/04/2007
Last updated
08/22/2020
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