Organization
PANHANDLE MEDICAL ASSOC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. REGINA Y. RONK (OFFICE MANAGER)
(304) 263-6997
Entity
Organization
Contact information
Practice address
65 HEALTH CARE LN, MARTINSBURG, WV 25401-4006
(304) 263-6997
(304) 263-8827
Mailing address
65 HEALTH CARE LN, MARTINSBURG, WV 25401-4006
(304) 263-6997
(304) 263-8827
Taxonomy
Speciality
Code
Description
License number
State
170100000X
Ph.D. Medical Genetics
Primary
1177
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0073644000
—
WV
Enumeration date
07/22/2006
Last updated
09/25/2009
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