Organization
STONEWALL JACKSON MEMORIAL HOSPITAL COMPANY
Active
Parent organization
STONEWALL JACKSON MEMORIAL HOSPITAL COMPANY
Other names
Weston Orthopedic and Sports Medicine Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
STONEWALL JACKSON MEMORIAL HOSPITAL COMPANY
Authorized official
DAVID SHAFFER (CHIEF EXECUTIVE OFFICER)
(304) 269-8080
Entity
Organization
Contact information
Practice address
29 HOSPITAL PLZ STE C, WESTON, WV 26452-8471
(304) 269-4431
(304) 269-9803
Mailing address
29 HOSPITAL PLZ STE C, WESTON, WV 26452-8471
(304) 269-4431
(304) 269-9803
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
7
WV
Other
Enumeration date
06/08/2011
Last updated
06/08/2011
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