Organization
GREENBRIER PHYSICIANS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT R. REPASS (CLINIC ADMINISTRATOR)
(304) 647-1140
Entity
Organization
Contact information
Practice address
1322 MAPLEWOOD AVE, RONCEVERTE, WV 24970-8016
(304) 647-5114
(304) 647-3006
Mailing address
1322 MAPLEWOOD AVE, RONCEVERTE, WV 24970-8016
(304) 647-5114
(304) 647-3006
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
207RG0100X
Gastroenterology Physician
—
—
207RP1001X
Pulmonary Disease Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
207VG0400X
Gynecology Physician
—
—
207VX0000X
Obstetrics Physician
—
—
207W00000X
Ophthalmology Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
208000000X
Pediatrics Physician
—
—
208600000X
Surgery Physician
—
—
Other
Enumeration date
11/28/2006
Last updated
03/24/2021
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