Innovative Wellness Solutions LLC

NPI #1053735803 in Apollo, Pennsylvania

Provider Information

NPI Number: 1053735803
Entity Type: Organization
Organization Name: Innovative Wellness Solutions LLC
Primary Specialty: Surgery
Enumeration Date: Feb 14, 2014
Last Updated: Feb 14, 2014

Practice Location

Address: 1902 RIVER ROAD
City: Apollo
State: Pennsylvania
ZIP Code: 15673
Phone: (724) 478-5361

Authorized Official

Name: DEBRA A LEONARD
Title: CREDENTIALING MANAGER
Phone: (412) 279-4522

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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