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A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
General Practice |
208D00000X | 99 | Physician/Undefined Physician type[6] | |
Hematology & Oncology |
207RH0003X | 11 | Physician/Internal Medicine | |
Psychiatry |
2084P0800X | 26 | Physician/Psychiatry | |
Surgery |
208600000X | 02 | Physician/General Surgery |
| NPI Number | 1205357506 |
| LBN Legal business name | CENTRA HEALTH INC |
| Authorized official | JOE KOONS - (MANAGING DIRECTOR REVENUE CYCLE) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 06/28/2017 |
| Last updated | 06/28/2017 - About 9 years ago |
| Identifiers | n/a |
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CENTRA HEALTH INC
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CENTRA HEALTH INC