Organization
UNITED PHYSICIANS CARE INC
Active
Other names
Doddridge Family Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN C FORESTER (CHIEF EXECUTIVE OFFICER)
(304) 624-4655
Entity
Organization
Contact information
Practice address
302 COLUMBIA ST, WEST UNION, WV 26456-1108
(304) 873-2590
(304) 873-1792
Mailing address
686 S PIKE ST, STE A, SHINNSTON, WV 26431-1043
(304) 624-4655
(304) 624-3918
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
51D0236527
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6705062000
—
WV
Enumeration date
12/01/2006
Last updated
01/08/2009
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