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Organization

WEDGEWOOD FAMILY PRACTICE & PSYCHIATRY ASSOCIATES, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
FRANK ORTIZ (COO)
(304) 598-2233
Entity
Organization

Contact information

Practice address
1197 VAN VOORHIS RD, MORGANTOWN, WV 26505-3478
(304) 598-2233
(304) 296-1792
Mailing address
900 FAIRMONT RD, MORGANTOWN, WV 26501-3847
(304) 598-2233
(304) 296-1792

Taxonomy

Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0006259001
WV
Enumeration date
10/31/2014
Last updated
10/31/2014
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