Organization
INTEGRATED HEALTH CARE PROVIDERS
Active
Other names
Orthopedic Trauma Group
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFF H GOODE PT,MBA (EXEC DIRECTOR)
(304) 388-7782
Entity
Organization
Contact information
Practice address
415 MORRIS ST, SUITE 201, CHARLESTON, WV 25301-1842
(304) 388-7782
Mailing address
415 MORRIS ST, SUITE #304, CHARLESTON, WV 25301-1842
(304) 388-7782
(304) 388-7788
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
03/20/2007
Last updated
04/30/2009
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