Wv Asthma and Allergy Centers, Inc.

NPI #1588916399 in Montgomery, West Virginia

Provider Information

NPI Number: 1588916399
Entity Type: Organization
Organization Name: Wv Asthma and Allergy Centers, Inc.
Primary Specialty: Allergy & Immunology
Enumeration Date: Oct 4, 2012
Last Updated: Oct 4, 2012

Practice Location

Address: 401 6TH AVE
Address 2: SUITE 303D
City: Montgomery
State: West Virginia
ZIP Code: 25136-2116
Phone: (304) 343-4300

Authorized Official

Name: MR. JIM A MATHENA
Title: ADMINISTRATOR
Phone: (304) 343-4300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Allergy & Immunology	207K00000X	Primary

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