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Individual Provider (NPI-1)
Active
Preventive Medicine, Occupational Medicine
Provider Information
- NPI Number
1447363155- Provider Type
- Individual Provider (NPI-1)
- Credentials
- do
- Status
- Active
Contact & Location
- Address
- 2000 EOFF ST, WHEELING, WV, 260033823
- Phone
- (304) 234-8630
- Fax
- (304) 234-8637
Specialties & Taxonomies
Preventive Medicine, Occupational Medicine
Primary License: WV #1006