Mountaineer Family Medicine, Inc.
NPI #1295874436 in Charleston, West Virginia
Provider Information
- NPI Number
- 1295874436
- Entity Type
- Organization
- Organization Name
- Mountaineer Family Medicine, Inc.
- Primary Specialty
- Family Medicine
- Enumeration Date
- Feb 5, 2007
- Last Updated
- Feb 4, 2008
Practice Location
- Address
- 500 POPLAR ST
- Address 2
- SUITE 204
- City
- Charleston
- State
- West Virginia
- ZIP Code
- 25309-1474
- Phone
- (304) 767-7840
Authorized Official
- Name
- MOHAMAD SAMAH KALOU, MD
- Title
- OWNER
- Phone
- (304) 767-7840
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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