Organization
GREENBRIER PHYSICIANS RURAL HEALTH CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN VESS DO (PRESIDENT)
(304) 647-1175
Entity
Organization
Contact information
Practice address
1322 MAPLEWOOD AVE, RONCEVERTE, WV 24970-8016
(304) 647-1139
(304) 647-3006
Mailing address
1322 MAPLEWOOD AVE, RONCEVERTE, WV 24970-8016
(304) 647-1139
(304) 647-3006
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
207W00000X
Ophthalmology Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
208000000X
Pediatrics Physician
—
—
208600000X
Surgery Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
01/31/2019
Last updated
01/31/2019
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