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Organization
INJURY CENTER OF WV
Active
Organization
INJURY CENTER OF WV
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT JOHN BROOKS DC (OWNER)
(614) 619-6965
Entity
Organization
Contact information
Practice address
130 PROFESSIONAL PL, BRIDGEPORT, WV 26330-4599
(681) 519-9779
Mailing address
3000 CORPORATE EXCHANGE DR STE 110, COLUMBUS, OH 43231-7689
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
NULL
111N00000X
Chiropractor
—
—
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
363LW0102X
Women's Health Nurse Practitioner
—
NULL
363LW0102X
Women's Health Nurse Practitioner
—
—
Other
Enumeration date
12/11/2024
Last updated
12/11/2024
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