Comprehensive Occ Med Physicals Acad&surveillancesolutionsllc
NPI #1073022067 in Nitro, West Virginia
Provider Information
- NPI Number
- 1073022067
- Entity Type
- Organization
- Organization Name
- Comprehensive Occ Med Physicals Acad&surveillancesolutionsllc
- Primary Specialty
- Preventive Medicine - Occupational Medicine
- Enumeration Date
- Sep 22, 2017
- Last Updated
- Nov 11, 2024
Practice Location
- Address
- 2206 22ND ST
- City
- Nitro
- State
- West Virginia
- ZIP Code
- 25143-1729
- Phone
- (681) 217-7172
Authorized Official
- Name
- ANITA L CALLICOAT, MSN, NP-C, MS-ATE
- Title
- OWNER & CEO
- Phone
- (681) 217-7172
Specialties & Taxonomy Codes
| Specialty |
|---|
| Preventive Medicine - Occupational Medicine — Occupational Medicine |
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