Organization
PRIMARY HEALTH CARE ASSOCIATES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BENNETT D ORVIK MD (SINGLE MEMBER)
(304) 269-6620
Entity
Organization
Contact information
Practice address
25 GARTON PLZ, WESTON, WV 26452-2128
(304) 269-6620
Mailing address
PO BOX 747, WESTON, WV 26452-0747
(304) 269-6620
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
11386
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0055675000
—
WV
Enumeration date
08/06/2008
Last updated
10/16/2008
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