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NPI Code Detail

MEDICARE: REGINA DAWN BRUMFIELD PRSS

MEDICARE: REGINA DAWN BRUMFIELD PRSS
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
1175T00000XPeer SpecialistWV

General Provider Information

NPI Number : 1184346769
Entity Type Code : Individual
Provider Name (Legal Business Name) : REGINA DAWN BRUMFIELD PRSS
Provider Business Mailing Address
First Line : 2611 WILSON ST
Second Line :
City : HUNTINGTON
State : WV
Zip : 25705-1152
Country : US
Telephone Number : 304-360-2567
Fax Number :
Provider Business Practice Location Address
First Line : 1235 6TH AVE
Second Line :
City : HUNTINGTON
State : WV
Zip : 25701-2311
Country : US
Telephone Number : 681-432-0600
Fax Number : 681-432-0601
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/12/2022
Last Update Date : 09/12/2022

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Directions to “ REGINA DAWN BRUMFIELD PRSS” Practice Location

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