Organization
WEST VIRGINIA VASCULAR INSTITUTE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HERBERT P OYE DO (OWNER)
(304) 255-3601
Entity
Organization
Contact information
Practice address
250 STANAFORD RD STE 202, BECKLEY, WV 25801-3140
(304) 255-3601
(304) 255-3340
Mailing address
250 STANAFORD RD STE 202, BECKLEY, WV 25801-3140
(304) 255-3601
(304) 255-3340
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
1595
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001726273
HIGHMARK BLUE CROSS BLUE SHIELD
WV
05
—
3810001964
—
WV
Enumeration date
01/23/2018
Last updated
06/11/2019
Update your record
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