NPI 1790714228 · live from the CMS NPI Registry
Fairmont Physicians INC
Urology in Fairmont, WV. National Provider Identifier 1790714228, active.
NPI record
| NPI | 1790714228 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Urology 208800000X |
| Practice location | 211 Marion Square, Fairmont, WV 26554 |
| Practice phone | 304-367-0043 |
| Mailing address | Po Box 2990, Fairmont, WV 26554 |
| Enumerated | June 30, 2006 |
| Last updated | March 17, 2009 |
| Authorized official | George Boyles, Treasurer |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine | 207Q00000X | — |
| Psychiatry & Neurology, Psychiatry | 2084P0800X | — |
| Urology primary | 208800000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.