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Individual

DENNIS J WERT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
97 ADMINISTRATIVE DR, MARTINSBURG, WV 25404-6378
(304) 350-3200
(304) 350-3240
Mailing address
220 CAMPUS BLVD STE 100, WINCHESTER, VA 22601-2896
(540) 536-4405
(540) 536-0235

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
00482
WV
363A00000X
Physician Assistant
0110840604
VA
363A00000X
Physician Assistant
Primary
482
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
550738254029
BCBS
WV
Enumeration date
07/12/2005
Last updated
11/18/2021
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