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NPI Code Detail

MEDICARE: UNIVERSITY PHYSICIANS & SURGEONS, INC

MEDICARE: UNIVERSITY PHYSICIANS & SURGEONS, INC
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
1208800000XUrology Physician

General Provider Information

NPI Number : 1376593434
Entity Type Code : Organization
Provider Name (Legal Business Name) : UNIVERSITY PHYSICIANS & SURGEONS, INC
Provider Business Mailing Address
First Line : 1600 MEDICAL CENTER DR
Second Line : SUITE 2500
City : HUNTINGTON
State : WV
Zip : 25701-3656
Country : US
Telephone Number : 304-691-1200
Fax Number : 304-691-1287
Provider Business Practice Location Address
First Line : 601 20TH ST
Second Line :
City : HUNTINGTON
State : WV
Zip : 25703-1512
Country : US
Telephone Number : 304-523-6421
Fax Number : 304-523-8506
Authorized Official
Title or Position : CREDENTIALING SPECIALIST
Name : PAM LOVINS
Credential : CPCS
Telephone Number : 304-691-1640
Provider Enumeration Date : 05/11/2006
Last Update Date : 08/22/2020

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Directions to “UNIVERSITY PHYSICIANS & SURGEONS, INC ” Practice Location

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