| Nitro Primary Care | |
|
4111 1st Ave Nitro WV 25143-1304 | |
| (304) 755-4797 | |
| Not Available |
| Full Name | Nitro Primary Care |
|---|---|
| Speciality | Family Medicine |
| Location | 4111 1st Ave, Nitro, West Virginia |
| Authorized Official Name and Position | E Michael Robie (PARTNER) |
| Authorized Official Contact | 3047554797 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nitro Primary Care Po Box 157 Nitro WV 25143-0157 Ph: (304) 755-4797 | Nitro Primary Care 4111 1st Ave Nitro WV 25143-1304 Ph: (304) 755-4797 |
| NPI Number | 1518037845 |
|---|---|
| Provider Enumeration Date | 11/08/2006 |
| Last Update Date | 09/11/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518037845 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 2130 (West Virginia) | Primary |
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