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Organization

PVH SERFONTEIN OFFICE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. THOMAS E SCHAUER (CFO, VP OF FINANCE)
(304) 675-4340
Entity
Organization

Contact information

Practice address
2513 JEFFERSON AVE, PT PLEASANT, WV 25550-1529
(304) 675-6835
(304) 675-6849
Mailing address
2520 VALLEY DR, PT PLEASANT, WV 25550-2031
(304) 675-4340
(304) 675-5893

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
21778
WV

Other

Enumeration date
06/19/2009
Last updated
06/19/2009
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