| |
310 Fairfax Avenue, Davis, WV 26260-0000 | |
(304) 516-7251 | |
Not Available |
Full Name | |
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Type | Facility |
Speciality | Acupuncturist |
Location | 310 Fairfax Avenue, Davis, West Virginia |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
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1164784583 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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171100000X | Acupuncturist | 96213 (West Virginia) | Primary |
Mailing Address | Practice Location Address |
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Po Box 631, Davis, WV 26260-0631 Ph: () - | 310 Fairfax Avenue, Davis, WV 26260-0000 Ph: (304) 516-7251 |