Organization
COLUMBIA ST. JOSEPH'S HEALTHCARE SYSTEMS LP
Active
Other names
Loma Prieta Obstetrics and Gynecology
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN MERRITT (MANAGER)
(304) 424-4124
Entity
Organization
Contact information
Practice address
600 18TH ST, SUITE 204, PARKERSBURG, WV 26101-3231
(304) 424-4124
(304) 424-4124
Mailing address
600 18TH ST, SUITE 204, PARKERSBURG, WV 26101-3231
(304) 424-4124
(304) 424-4124
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0240074000
—
WV
01
—
DB5300
RR MEDICARE
—
Enumeration date
09/05/2007
Last updated
09/05/2007
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