Panhandle Medical Assoc Pllc
NPI #1528089703 in Martinsburg, West Virginia
Provider Information
- NPI Number
- 1528089703
- Entity Type
- Organization
- Organization Name
- Panhandle Medical Assoc Pllc
- Primary Specialty
- Medical Genetics, Ph.D. Medical Genetics
- Enumeration Date
- Jul 22, 2006
- Last Updated
- Sep 25, 2009
Practice Location
- Address
- 65 HEALTH CARE LN
- City
- Martinsburg
- State
- West Virginia
- ZIP Code
- 25401-4006
- Phone
- (304) 263-6997
Authorized Official
- Name
- MRS. REGINA Y. RONK
- Title
- OFFICE MANAGER
- Phone
- (304) 263-6997
Specialties & Taxonomy Codes
| Specialty |
|---|
| Medical Genetics, Ph.D. Medical Genetics |
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| DR. Mario Lucero, MD | |
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| MS. Teresa Jenkins Bowers, LICSW, LCSW | |
| Lori Goforth, CNM |
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