NPI 1699781294

Integrated Health Care Providers, INC.

Organisation Oral & Maxillofacial Surgery (D.M.D.) Charleston, WV

Practice location

Address: 830 Pennsylvania Ave STE 302, Charleston, WV 25302-3390
Phone: (304) 388-2950
Fax: (304) 388-2951
Mailing address: 415 Morris St STE 304, Charleston, WV 25301-1853

Authorised official

Name: Jeff Goode
Title: President
Phone: (304) 388-7783

Registered specialties

Oral & Maxillofacial Surgery (D.M.D.) Primary

Allopathic & Osteopathic Physicians Taxonomy 204E00000X

Other Oral & Maxillofacial Surgery providers in West Virginia →

Registry record

NPI: 1699781294
Entity type: Organization
NPI issued: 1 Aug 2006
Record last updated: 15 Nov 2007

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.