Parkersburg Surgical Associates, Pllc

NPI #1548285117 in Vienna, West Virginia

Provider Information

NPI Number: 1548285117
Entity Type: Organization
Organization Name: Parkersburg Surgical Associates, Pllc
Primary Specialty: Surgery
Enumeration Date: Jul 13, 2006
Last Updated: Aug 11, 2011

Practice Location

Address: 800 GRAND CENTRAL MALL
Address 2: SUITE 2
City: Vienna
State: West Virginia
ZIP Code: 26105-4131
Phone: (304) 865-4345

Authorized Official

Name: DR. JOHN KEVIN KOCH, M.D.
Title: PARTNER
Phone: (304) 865-4345

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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