Organization
SAXE MEDICAL SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATHY WOOTEN (CREDENTIALING COORDINATOR)
(304) 736-4744
Entity
Organization
Contact information
Practice address
1 CHATEAU LN, BARBOURSVILLE, WV 25504-1627
(304) 736-4700
(304) 736-4029
Mailing address
1 CHATEAU LN, BARBOURSVILLE, WV 25504-1627
(304) 736-4700
(304) 736-4029
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
291U00000X
Clinical Medical Laboratory
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0008723000
—
WV
05
—
0008723001
—
WV
05
—
0117420
—
OH
Enumeration date
08/24/2005
Last updated
07/15/2009
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