# CRAB ORCHARD MEDICAL ASSOC. INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184705907
- **Authorized official:** DR. MARIZA A LIRIO M.D. (VICE PRESIDENT)
- **Authorized official phone:** (304) 253-8336

## Contact information

- **Practice address:** 1769 ROBERT C BYRD DR, CRAB ORCHARD, WV 25827-1602
- **Practice address phone:** (304) 253-8336
- **Practice address fax:** (304) 253-8337
- **Mailing address:** PO BOX 1602, CRAB ORCHARD, WV 25827-1602
- **Mailing address phone:** (304) 253-8336
- **Mailing address fax:** (304) 253-8337

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |
| 208800000X | Urology Physician | — | NULL | — |
| 208800000X | Urology Physician | — | — | — |

## Other

- **Enumeration date:** 10/18/2006
- **Last updated:** 09/11/2025