Organization Name: | UNIVERSITY PHYSICIANS & SURGEONS, INC. |
NPI Number: | 1003810557 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JAMES J SCHNEIDER (EXECUTIVE DIRECTOR) |
Mailing Address: | 1616 13th Ave Suite 2b Huntington |
State: | WV US |
Postal Code: | 257013840 |
Phone Number: | 3046970393 |
Fax Number: | 3046970395 |
NPI Enumeration Date: | 06/10/2005 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QM1300X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Multi-Specialty |
Taxonomy Definition: |