Organization
VAMC HUNTINGTON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RICHARD SANTOSTEFANO PA-C (PHYSICIAN'S ASSISTANT)
(304) 429-6755
Entity
Organization
Contact information
Practice address
1540 SPRING VALLEY DRIVE, HUNTINGTON, WV 25704
(304) 429-6755
Mailing address
1916 POPLAR STREET, KENOVA, WV 25530
(304) 453-1332
Taxonomy
Speciality
Code
Description
License number
State
261QV0200X
VA Clinic/Center
Primary
—
—
Other
Enumeration date
07/09/2006
Last updated
09/03/2008
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