Appalachian Highway Medical & Surgical Clinic, Pllc
NPI #1255403002 in Pineville, West Virginia
Provider Information
- NPI Number
- 1255403002
- Entity Type
- Organization
- Organization Name
- Appalachian Highway Medical & Surgical Clinic, Pllc
- Primary Specialty
- Clinic/Center - Multi-Specialty
- Enumeration Date
- Nov 15, 2006
- Last Updated
- Jan 7, 2019
Practice Location
- Address
- APPALACHIAN HWY, RT. 10 EAST PINEVILLE
- City
- Pineville
- State
- West Virginia
- ZIP Code
- 24874-1274
- Phone
- (304) 732-9045
Authorized Official
- Name
- DR. DOMINADOR YTI LAO, M.D.
- Title
- PHYSICIAN
- Phone
- (304) 732-9045
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Multi-Specialty — Multi-Specialty |
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