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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
401 6TH AVE, SUITE 303D, MONTGOMERY, WV 25136-2116
(304) 343-4300
(304) 343-5473
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
78687
WV
Other
Enumeration date
10/04/2012
Last updated
10/04/2012
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