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Alpha Omega Medical Pllc
Obstetrics Physician in Logan, West Virginia
NPI 1497283352

Alpha Omega Medical Pllc is a Obstetrics Physician based in Logan, WV and is specialized in Obstetrics. Alpha Omega Medical Pllc practices in Logan, WV. The NPI Number for Alpha Omega Medical Pllc is 1497283352 and holds a License No. (West Virginia).

The current practice location address for Alpha Omega Medical Pllc is 77 Hospital Dr, Logan, WV and can be reached out via phone at 304-400-6262.

Location: 77 Hospital Dr, Logan, WV, 25601-0119
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1497283352
Provider Name
Alpha Omega Medical Pllc
Credential
Provider Entity Type
Organization
Address
77 Hospital Dr, Logan, WV, 25601-0119
Phone Number
304-400-6262
Fax Number
Provider Enumeration Date
05/23/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
24508 01 WV STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
77 Hospital Dr
City
Logan
State
West Virginia
Zip
25601-3451
Phone Number
304-400-6262
Fax Number
person
Provider Business Mailing Address Details
Address
77 Hospital Dr
City
Logan
State
West Virginia
Zip
25601-3451
Phone Number
304-400-6262
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
Obstetrics
Taxonomy
207VX0000X
License No.
()
Definition
Definition to come...
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