Organization
BRIDGEVIEW URGENT CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRED TZYSTUCK M.D. (OWNER)
(304) 573-4315
Entity
Organization
Contact information
Practice address
5447 MAPLE LN, SUITE B, FAYETTEVILLE, WV 25840-6872
(304) 574-6900
Mailing address
5447 MAPLE LN, SUITE B, FAYETTEVILLE, WV 25840-6872
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Enumeration date
11/27/2013
Last updated
11/27/2013
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