Organization
WEST LOGAN PRIMARY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EVA STANLEY (OWNER)
(304) 946-8286
Entity
Organization
Contact information
Practice address
947 OLD LOGAN RD, LOGAN, WV 25601-3341
(304) 831-0085
Mailing address
1776 HURRICANE BRANCH RD, CHAPMANVILLE, WV 25508-5241
(304) 946-8286
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
08/22/2023
Last updated
12/09/2023
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