Camden-Clark Physician Corporation
Surgery in Parkersburg, WV. Organization (NPI-2).
NPI number1710125430
StatusActive
Last updated in NPPESOct 6, 2023
Details
- NPI
- 1710125430
- Entity type
- Organization (NPI-2)
- Legal business name
- Camden-Clark Physician Corporation
- Organization subpart
- No
- Enumeration date
- Feb 3, 2009
- Certification date
- Oct 6, 2023
- Last updated
- Oct 6, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208600000X | Surgery | – | – | Yes |
| 207X00000X | Orthopaedic Surgery | – | – | |
| 207V00000X | Obstetrics & Gynecology | – | – | |
| 2084P0800X | Psychiatry & Neurology, Psychiatry | – | – |
Practice location
604 Ann StParkersburg, WV 26101-5122
Phone 304-424-4593 · Fax 304-424-4017
Mailing address
604 Ann StParkersburg, WV 26101-5122
Phone 304-424-4593 · Fax 304-424-4017
Authorized official
Sean Smith
Executive Director
3044244985
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