Activate Healthcare - Constellium
NPI #1700320579 in Ravenswood, West Virginia
Provider Information
- NPI Number
- 1700320579
- Entity Type
- Organization
- Organization Name
- Activate Healthcare - Constellium
- Primary Specialty
- Clinic/Center - Primary Care
- Enumeration Date
- Dec 13, 2016
- Last Updated
- Dec 13, 2016
Practice Location
- Address
- 859 CENTURY ROAD
- City
- Ravenswood
- State
- West Virginia
- ZIP Code
- 26164-0068
- Phone
- (304) 273-6261
Authorized Official
- Name
- DEBRA GEIHSLER
- Title
- PRINCIPAL
- Phone
- (773) 697-3144
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Primary Care — Primary Care |
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