Organization
ST. LUKE'S HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JOETTA DOTSON (SENIOR EXECUTIVE DIRECTOR)
(304) 327-2900
Entity
Organization
Contact information
Practice address
1331 SOUTHVIEW DR, BLUEFIELD, WV 24701-4320
(304) 327-2900
(304) 327-2989
Mailing address
1333 SOUTHVIEW DR, BLUEFIELD, WV 24701-4317
(304) 327-2900
(304) 327-2989
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0001837002
—
WV
Enumeration date
01/22/2007
Last updated
08/22/2020
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