NPI 1104081686

Weston Primary Care, PLLC

Organisation Family Medicine Physician Weston, WV

Practice location

Address: 1 Garton Plz, Weston, WV 26452-2128
Phone: (304) 517-1301
Fax: (304) 517-1304

Authorised official

Name: Julie M Wentz
Title: Physician
Phone: (304) 517-1301

Registered specialties

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence WV2054 (WV)

Other Family Medicine providers in West Virginia →

Registry record

NPI: 1104081686
Entity type: Organization
NPI issued: 23 Jul 2008
Record last updated: 23 Jul 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.