Organization · Type 2 NPI

Main Street Family Practice, Inc

Family Medicine Physician · Logan, WV

NPI number 1073542809 Active

Practice location

533 Main St
Logan, WV 25601-3809

Call (304) 752-3400 Map

Fax (304) 752-8138

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000X016632 (WV)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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About NPI 1073542809

Main Street Family Practice, Inc's National Provider Identifier is 1073542809, issued on Jul 2, 2006. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Logan, WV. The record was last updated on Oct 28, 2026.