Crab Orchard Medical Assoc. Inc.
NPI #1730378928 in Crab Orchard, West Virginia
Provider Information
- NPI Number
- 1730378928
- Entity Type
- Organization
- Organization Name
- Crab Orchard Medical Assoc. Inc.
- Primary Specialty
- Specialist
- Enumeration Date
- Oct 24, 2007
- Last Updated
- Oct 24, 2007
Practice Location
- Address
- 1701 ROBERT C. BYRD DRIVE
- City
- Crab Orchard
- State
- West Virginia
- ZIP Code
- 25827
- Phone
- (304) 253-8336
Authorized Official
- Name
- MARIZA A. LIRIO, M.D.
- Title
- VICE PRESIDENT
- Phone
- (304) 253-8336
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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