Premise Health of West Virginia Medical, Medical Corporation
NPI #1033694732 in Huntington, West Virginia
Provider Information
- NPI Number
- 1033694732
- Entity Type
- Organization
- Organization Name
- Premise Health of West Virginia Medical, Medical Corporation
- Primary Specialty
- Clinic/Center
- Enumeration Date
- Sep 27, 2018
- Last Updated
- Aug 15, 2022
Practice Location
- Address
- 2203 5TH STREET RD
- City
- Huntington
- State
- West Virginia
- ZIP Code
- 25701-9311
- Phone
- (304) 529-3558
Authorized Official
- Name
- DR. JON LEIZMAN, MD
- Title
- PRESIDENT
- Phone
- (216) 479-9063
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
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