Organization
RAVENSWOOD FAMILY MEDICINE CTR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARIF M MALIK (OWNER)
(304) 903-4579
Entity
Organization
Contact information
Practice address
316 WASHINGTON ST, RAVENSWOOD, WV 26164-1704
(304) 273-2647
(304) 273-2636
Mailing address
PO BOX 325, RAVENSWOOD, WV 26164-0325
(304) 273-4479
(304) 273-2599
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
19979
WV
Other
Enumeration date
09/16/2006
Last updated
07/22/2021
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