Organization
UNITED HOSPITAL CENTER, INC
Active
Parent organization
UNITED HOSPITAL CENTER, INC
Other names
UHC ENT & Audiology
Organization subpart
Yes
Provider details
NPI number
Legal business name
UNITED HOSPITAL CENTER, INC
Authorized official
MICHAEL TILLMAN (CEO)
(681) 342-1620
Entity
Organization
Contact information
Practice address
527 MEDICAL PARK DR STE 401, BRIDGEPORT, WV 26330-9010
(681) 342-3570
(681) 342-3575
Mailing address
527 MEDICAL PARK DR STE 401, BRIDGEPORT, WV 26330-9010
(681) 342-3570
(681) 342-3575
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
Other
Enumeration date
03/05/2008
Last updated
11/02/2016
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