Search › West Virginia › 237700000X
Ada Burgoyne, HIS
NPI 1407582612 · on the registry since 2022
Practice
- Address
- 162 Middletown Rd
Fairmont, WV 26554 - Phone
- (304) 534-7150
- Fax
- (304) 368-9558
- Clinicians at this address
- 2
Additional practice sites
- 9 Chenoweth Dr, Bridgeport, WV
Registry record
- Primary taxonomy
- 237700000X
237700000X
- Licence states on file
- WV
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-07-29
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in West Virginia