Med Ex Pllc

NPI #1598718074 in Ravenswood, West Virginia

Provider Information

NPI Number: 1598718074
Entity Type: Organization
Organization Name: Med Ex Pllc
Primary Specialty: Family Medicine
Enumeration Date: May 18, 2006
Last Updated: Oct 16, 2007

Practice Location

Address: 705 WASHINGTON ST
City: Ravenswood
State: West Virginia
ZIP Code: 26164-1729
Phone: (800) 824-2543

Authorized Official

Name: RICHARD J. BLACKBURN, DO
Title: PRESIDENT
Phone: (800) 824-2543

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X
Family Medicine	207Q00000X	Primary

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