WHITEHALL MEDICAL PLLC NPI 1659432631

NPI Information

WHITEHALL MEDICAL PLLC is a general practice in Fairmont, WV. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee WHITEHALL MEDICAL PLLC NPI is 1659432631. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

177 MIDDLETOWN RD
SUITE 1
FAIRMONT, WV
ZIP 26554-216
Phone: (304) 363-6600
Fax: (304) 363-7700

The provider's authorized official is Richard E. Vasicek .
The authorized official title is Member Owner and has the following contact phone number (304) 363-6600.

The enumeration date for this NPI number is 12/13/2006 and was last updated on 5/3/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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