Organization
EASTERN PANHANDLE PEDIATRICS, PLLC LAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD FIKE ARNETT M.D. (PARTNER)
(304) 263-8853
Entity
Organization
Contact information
Practice address
2000 PROFESSIONAL CT, SUITE C, MARTINSBURG, WV 25401-8758
(304) 263-8853
(304) 263-6178
Mailing address
2000 PROFESSIONAL CT, SUITE C, MARTINSBURG, WV 25401-8758
(304) 263-8853
(304) 263-6178
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
09975
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810005493
—
WV
Enumeration date
10/05/2006
Last updated
08/22/2020
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