Organization
FAIRMONT PHYSICIANS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT BURKLEY (DIRECTOR)
(304) 367-7315
Entity
Organization
Contact information
Practice address
51 SOUTHLAND DR, SUITE 1200, FAIRMONT, WV 26554-2244
(304) 363-2018
(304) 333-2456
Mailing address
PO BOX 2990, FAIRMONT, WV 26555-2990
(304) 367-0387
(304) 367-9470
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
06/06/2011
Last updated
06/06/2011
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