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NPI Code Detail

MEDICARE: MR. STEVEN K JAMESON DO

MEDICARE:  MR. STEVEN K JAMESON  DO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician1473WV
2207Q00000XFamily Medicine Physician0102202969VA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11039647OTHERWVW COMP
2000071943OTHERWVBC
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4P00160909OTHERWVRR MCARE

General Provider Information

NPI Number : 1124019880
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. STEVEN K JAMESON DO
Provider Business Mailing Address
First Line : PO BOX 590
Second Line :
City : UNION
State : WV
Zip : 24983-0590
Country : US
Telephone Number : 304-772-3064
Fax Number : 304-772-3296
Provider Business Practice Location Address
First Line : 200 HEALTH CENTER DRIVE
Second Line :
City : UNION
State : WV
Zip : 24983-0000
Country : US
Telephone Number : 304-772-3064
Fax Number : 304-772-3296
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/02/2005
Last Update Date : 02/17/2012

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Directions to “ MR. STEVEN K JAMESON DO” Practice Location

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