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Organization
WV ASTHMA AND ALLERGY CENTERS, INC.
Active
Organization
WV ASTHMA AND ALLERGY CENTERS, INC.
Active
Other names
Asthma & Allergy Center, Asthma and Allergy Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JASON C TRUSTY (ADMINISTRATOR)
(304) 343-4300
Entity
Organization
Contact information
Practice address
118 NICK SAVAS DR, LOGAN, WV 25601-3468
(304) 831-6700
(304) 831-6701
Mailing address
208 MACCORKLE AVE SE, CHARLESTON, WV 25314-1160
(304) 343-4300
(304) 343-5473
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
—
NULL
207K00000X
Allergy & Immunology Physician
Primary
—
—
Other
Enumeration date
01/04/2008
Last updated
04/13/2020
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