Premise Health of West Virginia Medical, Medical Corporation
NPI #1619244472 in Buffalo, West Virginia
Provider Information
- NPI Number
- 1619244472
- Entity Type
- Organization
- Organization Name
- Premise Health of West Virginia Medical, Medical Corporation
- Primary Specialty
- Clinic/Center - Occupational Medicine
- Enumeration Date
- Nov 22, 2011
- Last Updated
- Aug 15, 2022
Practice Location
- Address
- 1 SUGAR MAPLE LANE
- City
- Buffalo
- State
- West Virginia
- ZIP Code
- 25033-0001
- Phone
- (304) 937-7426
Authorized Official
- Name
- JON LEIZMAN, M.D
- Title
- PRESIDENT
- Phone
- (216) 479-9063
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Occupational Medicine — Occupational Medicine |
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