Organization
INTERNAL MEDICINE & GERIATRIC SPECIALISTS, INC.
Active
Other names
Family Medical Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRIS CLINTON QUE M.D. (PRESIDENT)
(304) 264-4433
Entity
Organization
Contact information
Practice address
1004 TAVERN RD, MARTINSBURG, WV 25401-2864
(304) 264-4433
(304) 264-4446
Mailing address
1004 TAVERN RD, MARTINSBURG, WV 25401-2864
(304) 264-4433
(304) 264-4446
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
23821
WV
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
20638
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810011501
—
WV
Enumeration date
03/24/2008
Last updated
01/11/2013
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