Organization
RADIOLOGICAL PHYSICIAN ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN A LEON MD (PRESIDENT)
(304) 624-2121
Entity
Organization
Contact information
Practice address
700 VILLAGE DR, FAIRMONT, WV 26554-7985
(304) 366-2600
Mailing address
PO BOX 890707, CHARLOTTE, NC 28289-0707
(866) 338-6463
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0010747000
—
WV
01
—
1041208
WORKERS COMP
WV
Enumeration date
07/20/2005
Last updated
07/19/2007
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