NPI 1861400756

Integrated Health Care Providers, INC.

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

Practice location

Address: 415 Morris St STE 309, Charleston, WV 25301-1853
Phone: (304) 388-3290
Fax: (304) 388-3186
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: 1861400756
Entity type: Organization
NPI issued: 4 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.