| Michael R. Hess, M.d. | |
|
1511 Johnson Ave Bridgeport WV 26330 | |
| (304) 842-8060 | |
| (304) 842-9064 |
| Full Name | Michael R. Hess, M.d. |
|---|---|
| Speciality | Family Medicine |
| Location | 1511 Johnson Ave, Bridgeport, West Virginia |
| Authorized Official Name and Position | Michael Raymond Hess (OWNER) |
| Authorized Official Contact | 3048428060 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael R. Hess, M.d. 1511 Johnson Ave Bridgeport WV 26330 Ph: (304) 842-8060 | Michael R. Hess, M.d. 1511 Johnson Ave Bridgeport WV 26330 Ph: (304) 842-8060 |
| NPI Number | 1649307232 |
|---|---|
| Provider Enumeration Date | 02/28/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649307232 | NPI | - | NPPES |
| 3002032000 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 20011 (West Virginia) | Primary |
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