Organization
INTEGRATED HEALTH CARE PROVIDERS, INC.
Active
Other names
CAMC Physicians Group - Pediatric Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY H. GOODE MBA (PRESIDENT)
(304) 388-7782
Entity
Organization
Contact information
Practice address
830 PENNSYLVANIA AVE, SUITE 305, CHARLESTON, WV 25302-3302
(304) 388-1770
(304) 388-1775
Mailing address
PO BOX 1320, SAINT ALBANS, WV 25177-1320
(304) 388-1724
(304) 388-1721
Taxonomy
Speciality
Code
Description
License number
State
2086S0120X
Pediatric Surgery Physician
Primary
—
—
Other
Enumeration date
06/04/2013
Last updated
06/04/2013
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