Organization
GOOD SAMARITAN CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CYNTHIA SUE MOORE (EXECUTIVE DIRECTOR)
(304) 834-3986
Entity
Organization
Contact information
Practice address
418 GRAND PARK DRIVE, SUITE 311, PARKERSBURG, WV 26105-4000
(304) 834-3986
(304) 834-3987
Mailing address
418 GRAND PARK DRIVE, SUITE 311, PARKERSBURG, WV 26105-4000
(304) 834-3986
(304) 834-3987
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
09/12/2012
Last updated
09/12/2012
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