NPI 1235714759

Theodore R Gover LLC

Organisation Health Maintenance Organization Vienna, WV

Practice location

Address: 310 38th St, Vienna, WV 26105-1722
Phone: (937) 570-0002

Authorised official

Name: Theodore R Gover
Title: Owner
Phone: (937) 570-0002

Registered specialties

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X

Other Health Maintenance Organization providers in West Virginia →

Registry record

NPI: 1235714759
Entity type: Organization
NPI issued: 16 Mar 2021
Record last updated: 16 Mar 2021

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.