Organization Name: | DURWOOD F. GANDEE MD PC |
NPI Number: | 1851511612 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DURWOOD F GANDEE (OWNER) |
Mailing Address: | 1979 Professional Cir Ravenswood |
State: | WV US |
Postal Code: | 261641378 |
Phone Number: | 3042735873 |
Fax Number: | |
NPI Enumeration Date: | 04/26/2007 |
NPI Last Update Date: | 07/15/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR1300X |
License Number: | ========= |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WV |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Rural Health |
Taxonomy Definition: |