Indwell Health and Wellness.llc

NPI #1689119646 in Forest, Virginia

Provider Information

NPI Number: 1689119646
Entity Type: Organization
Organization Name: Indwell Health and Wellness.llc
Primary Specialty: Allergy & Immunology
Enumeration Date: Dec 30, 2016
Last Updated: Apr 12, 2018

Practice Location

Address: 1019A VISTA PARK DR
City: Forest
State: Virginia
ZIP Code: 24551-4901
Phone: (434) 515-0419

Authorized Official

Name: DR. LUIS A MATOS, MD
Title: MEDICAL DIRECTOR
Phone: (434) 252-0026

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X
Pediatrics - Pediatric Allergy/Immunology — Pediatric Allergy/Immunology	2080P0201X
Allergy & Immunology	207K00000X	Primary

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