Summersville Outpatient Center

NPI #1992244081 in Summersville, West Virginia

Provider Information

NPI Number: 1992244081
Entity Type: Organization
Organization Name: Summersville Outpatient Center
Primary Specialty: Podiatrist
Enumeration Date: Feb 22, 2017
Last Updated: Mar 1, 2017

Practice Location

Address: 702 PROFFESSIONAL PARK DR
City: Summersville
State: West Virginia
ZIP Code: 26651-2018
Phone: (304) 883-2381

Authorized Official

Name: DEBORAH A KINCELL
Title: REVENUE CYCLE DIRECTOR
Phone: (304) 883-0220

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist	213E00000X	Primary

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