Boone Primary Care Clinic

NPI #1578634697 in Madison, West Virginia

Provider Information

NPI Number
1578634697
Entity Type
Organization
Organization Name
Boone Primary Care Clinic
Primary Specialty
Internal Medicine
Enumeration Date
Nov 11, 2006
Last Updated
Aug 22, 2020

Practice Location

Address
340 STATE ST
ZIP Code
25130-1365
Phone
(304) 307-6618

Authorized Official

Name
WENQING LONG, MD
Title
OWNER
Phone
(304) 307-6618

Specialties & Taxonomy Codes

Specialty
Internal Medicine

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