Organization
THE MARTINSBURG WORK CENTER II
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRYAN WITCHEY (DIRECTOR)
(304) 262-9600
Entity
Organization
Contact information
Practice address
24 INTEGRITY TER, MARTINSBURG, WV 25405-3524
(304) 262-9600
(304) 262-6900
Mailing address
PO BOX 1265, MARTINSBURG, WV 25402-1265
(304) 262-9600
(304) 262-6900
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
UD000018511001
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810004863
—
WV
Enumeration date
05/29/2008
Last updated
05/29/2008
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