Whalio Doctors

NPI 1386846707

Agnes a Enrico-Simon, PLLC

Organisation Family Medicine Physician PT Pleasant, WV

Practice location

Address
2415 Jackson Ave, PT Pleasant, WV 25550-2042
Phone
(304) 675-6090
Fax
(304) 675-5893

Authorised official

Name
Agnes a Enrico-Simon
Title
Physician
Phone
(304) 675-6817

Registered specialties

Family Medicine Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207Q00000X

Registry record

NPI
1386846707
Entity type
Organization
NPI issued
5 Jun 2007
Record last updated
22 Aug 2020

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.