Organization
WESTERN GREENBRIER INTERNAL MEDICINE PLLC
Active
Organization
WESTERN GREENBRIER INTERNAL MEDICINE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHILLIP E JARVIS MD (PHYSICIAN OWNER)
(304) 438-5550
Entity
Organization
Contact information
Practice address
512 MAIN STREET, RAINELLE, WV 25962
(304) 438-5550
(304) 438-5559
Mailing address
512 MAIN STREET, RAINELLE, WV 25962
(304) 438-5550
(304) 438-5559
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
13144
WV
Other
Enumeration date
03/25/2008
Last updated
03/25/2008
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