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Organization
WV ASTHMA AND ALLERGY CENTERS, INC
Active
Organization
WV ASTHMA AND ALLERGY CENTERS, INC
Active
Other names
Asthma and Allergy Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JIM A MATHENA (ADMINISTRATOR)
(304) 343-4300
Entity
Organization
Contact information
Practice address
4 CHATEAU LN, BARBOURSVILLE, WV 25504-1626
(304) 343-4300
Mailing address
208 MACCORKLE AVE SE, CHARLESTON, WV 25314-1160
(304) 343-4300
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
78687
WV
Other
Enumeration date
07/20/2016
Last updated
07/20/2016
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