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1623 13th Ave Huntington WV 25701-3845 | |
| (304) 526-2243 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Anesthesiology - Pain Medicine |
| Location | 1623 13th Ave, Huntington, West Virginia |
| Authorized Official Name and Position | Kevin Fowler (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 3045262000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1340 Hal Greer Blvd Huntington WV 25701-3800 Ph: (304) 526-2000 | 1623 13th Ave Huntington WV 25701-3845 Ph: (304) 526-2243 |
| NPI Number | 1679758221 |
|---|---|
| Provider Enumeration Date | 01/02/2008 |
| Last Update Date | 04/02/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679758221 | NPI | - | NPPES |
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