Organization
REGIONAL FAMILY MEDICINE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COLIN A ROSE M.D. (PRESIDENT)
(304) 645-4043
Entity
Organization
Contact information
Practice address
406NICHOLAS STREET, RUPERT, WV 25984
(304) 645-4043
(304) 645-4713
Mailing address
PO BOX 1049, LEWISBURG, WV 24901-4049
(304) 645-4043
(304) 645-4713
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
16231
WV
208D00000X
General Practice Physician
17710
WV
Other
Enumeration date
09/03/2008
Last updated
06/01/2010
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