Organization
DURWOOD F. GANDEE MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DURWOOD F GANDEE M.D. (OWNER)
(304) 273-5873
Entity
Organization
Contact information
Practice address
1979 PROFESSIONAL CIR, RAVENSWOOD, WV 26164-1378
(304) 273-5873
Mailing address
1979 PROFESSIONAL CIR, RAVENSWOOD, WV 26164-1378
(304) 273-5873
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0034612000
—
WV
05
—
0051029000
—
WV
Enumeration date
04/26/2007
Last updated
07/21/2022
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