Organization
MICHAEL R. HESS, M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL RAYMOND HESS D.O. (OWNER)
(304) 842-8060
Entity
Organization
Contact information
Practice address
1511 JOHNSON AVE, BRIDGEPORT, WV 26330
(304) 842-8060
(304) 842-9064
Mailing address
1511 JOHNSON AVE, BRIDGEPORT, WV 26330
(304) 842-8060
(304) 842-9064
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20011
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3002032000
—
WV
Enumeration date
02/28/2007
Last updated
08/22/2020
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