Premise Health of West Virginia Medical, Medical Corporation
NPI #1629737242 in Bowling Green, Kentucky
Provider Information
- NPI Number
- 1629737242
- Entity Type
- Organization
- Organization Name
- Premise Health of West Virginia Medical, Medical Corporation
- Primary Specialty
- Clinic/Center - Multi-Specialty
- Enumeration Date
- Dec 10, 2021
- Last Updated
- Aug 15, 2022
Practice Location
- Address
- 1017 COLLEGE ST
- City
- Bowling Green
- State
- Kentucky
- ZIP Code
- 42101-2136
- Phone
- (270) 393-3013
Authorized Official
- Name
- JONATHAN B LEIZMAN
- Title
- PRESIDENT
- Phone
- (216) 479-9063
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Multi-Specialty — Multi-Specialty |
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