Organization
PETERSTOWN WELLNESS CENTER
Active
Other names
Monroe Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
ROGER BRADY (CEO)
(304) 772-3064
Entity
Organization
Contact information
Practice address
200 HEALTH CENTER DR, UNION, WV 24983
(304) 772-3064
(304) 772-3296
Mailing address
108 COLLEGE DR, PETERSTOWN, WV 24963
(304) 753-6960
(304) 753-6961
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
09/06/2007
Last updated
09/06/2007
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